Ischaemia with no obstructive coronary arteries: a review with focus on the Asian population
Ischaemia with no obstructive coronary arteries (INOCA) has been a diagnostic and therapeutic challenge for decades. Several studies have demonstrated that INOCA is associated with an increased risk of death, adverse cardiovascular events, poor quality of life and high healthcare cost. Although ther...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer – Medknow Publications
2024-07-01
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| Series: | Singapore Medical Journal |
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| Online Access: | https://journals.lww.com/10.4103/singaporemedj.SMJ-2023-116 |
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| author | Rodney Yu-Hang Soh Ting-Ting Low Ching-Hui Sia William Kok-Fai Kong Tiong-Cheng Yeo Poay-Huan Loh Kian-Keong Poh |
| author_facet | Rodney Yu-Hang Soh Ting-Ting Low Ching-Hui Sia William Kok-Fai Kong Tiong-Cheng Yeo Poay-Huan Loh Kian-Keong Poh |
| author_sort | Rodney Yu-Hang Soh |
| collection | DOAJ |
| description | Ischaemia with no obstructive coronary arteries (INOCA) has been a diagnostic and therapeutic challenge for decades. Several studies have demonstrated that INOCA is associated with an increased risk of death, adverse cardiovascular events, poor quality of life and high healthcare cost. Although there is increasing recognition of this entity in the Western population, in the Asian population, INOCA remains elusive and its prevalence uncertain. Despite its prognostic significance, diagnosis of INOCA is often delayed. In this review, we identified the multiple barriers to its diagnosis and management, and proposed strategies to overcome them. |
| format | Article |
| id | doaj-art-d0c45f9bb2794573a4ff764df77e24c4 |
| institution | Kabale University |
| issn | 0037-5675 2737-5935 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wolters Kluwer – Medknow Publications |
| record_format | Article |
| series | Singapore Medical Journal |
| spelling | doaj-art-d0c45f9bb2794573a4ff764df77e24c42025-02-09T10:24:20ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352024-07-0165738038810.4103/singaporemedj.SMJ-2023-116Ischaemia with no obstructive coronary arteries: a review with focus on the Asian populationRodney Yu-Hang SohTing-Ting LowChing-Hui SiaWilliam Kok-Fai KongTiong-Cheng YeoPoay-Huan LohKian-Keong PohIschaemia with no obstructive coronary arteries (INOCA) has been a diagnostic and therapeutic challenge for decades. Several studies have demonstrated that INOCA is associated with an increased risk of death, adverse cardiovascular events, poor quality of life and high healthcare cost. Although there is increasing recognition of this entity in the Western population, in the Asian population, INOCA remains elusive and its prevalence uncertain. Despite its prognostic significance, diagnosis of INOCA is often delayed. In this review, we identified the multiple barriers to its diagnosis and management, and proposed strategies to overcome them.https://journals.lww.com/10.4103/singaporemedj.SMJ-2023-116coronary artery diseasefunctional coronary artery assessmentischaemia with no obstructive coronary arteriesischaemic heart disease |
| spellingShingle | Rodney Yu-Hang Soh Ting-Ting Low Ching-Hui Sia William Kok-Fai Kong Tiong-Cheng Yeo Poay-Huan Loh Kian-Keong Poh Ischaemia with no obstructive coronary arteries: a review with focus on the Asian population Singapore Medical Journal coronary artery disease functional coronary artery assessment ischaemia with no obstructive coronary arteries ischaemic heart disease |
| title | Ischaemia with no obstructive coronary arteries: a review with focus on the Asian population |
| title_full | Ischaemia with no obstructive coronary arteries: a review with focus on the Asian population |
| title_fullStr | Ischaemia with no obstructive coronary arteries: a review with focus on the Asian population |
| title_full_unstemmed | Ischaemia with no obstructive coronary arteries: a review with focus on the Asian population |
| title_short | Ischaemia with no obstructive coronary arteries: a review with focus on the Asian population |
| title_sort | ischaemia with no obstructive coronary arteries a review with focus on the asian population |
| topic | coronary artery disease functional coronary artery assessment ischaemia with no obstructive coronary arteries ischaemic heart disease |
| url | https://journals.lww.com/10.4103/singaporemedj.SMJ-2023-116 |
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