Diagnóstico y tratamiento de los pacientes con ANOCA Consenso SEC-Asociación de Cardiología Clínica/ SEC-Asociación de Cardiología Intervencionista/ SEC-Asociación de Cardiopatía Isquémica y Cuidados Agudos Cardiovasculares/SEC-Asociación de Imagen Cardiaca
- Carlos Escobar 1
- Josep Gómez Lara 2
- Javier Escaned 3
- Antoni Carol Ruiz 4
- Enrique Gutiérrez Ibañes 5
- Leticia Fernández Friera 6
- Sergio Raposeiras Roubín 7
- Joaquín Alonso Martín 8
- Jaume Agüero 9
- Jose María Gámez 10
- Pablo Jorge Pérez 11
- Román Freixa Pamias 4
- Vivencio Barrios 12
- Ignacio Cruz González 13
- Amparo Martínez Monzonís 13
- Ana Viana Tejedor 3
- 1 ervicio de Cardiología, Hospital Universitario La Paz, Madrid, España
- 2 ervicio de Cardiología, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, España
- 3 Servicio de Cardiología, Hospital Universitario Clínico San Carlos, Fundación para la Investigación Biomédica del Hospital Clínico San Carlos (IDISSC), Universidad Complutense, Madrid, España
- 4 Servicio de Cardiología, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, España
- 5 Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, España
- 6 Servicio de Cardiología, Centro Integral de Enfermedades Cardiovasculares (HM-CIEC), HM Hospitales, Facultad HM Hospitales de Ciencias de la Salud de la Universidad Camilo José Cela, Madrid, España
- 7 Servicio de Cardiología, Hospital Universitario Álvaro Cunqueiro, Vigo, Pontevedra, España
- 8 Servicio de Cardiología, Hospital Universitario de Getafe, Universidad Europea, Getafe, Madrid, España
- 9 Servicio de Cardiología, Hospital Universitario y Politécnico La Fe, Valencia, España
- 10 Servicio de Cardiología, Hospital Universitario Son Llàtzer, Universidad de las Islas Baleares, Palma de Mallorca, España
- 11 Servicio de Cardiología, Hospital Universitario de Canarias, Santa Cruz de Tenerife, España
- 12 Servicio de Cardiología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, España
- 13 Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), España
ISSN: 2604-7276, 2604-7306
Año de publicación: 2024
Volumen: 6
Número: 2
Páginas: 106-116
Tipo: Artículo
Otras publicaciones en: REC: Interventional Cardiology
Resumen
Un número importante de aquellos pacientes en quienes se realiza coronariografía por angina o isquemia presentan en pruebas no invasivas arterias coronarias sin lesiones o con estenosis no significativas. Muchos de estos pacientes tienen isquemia miocárdica de causa no obstructiva (INOCA/ANOCA), una condición con importancia pronóstica que afecta de manera considerable la calidad de vida. La ausencia de un diagnóstico que haga posible un tratamiento médico efectivo acarrea la repetición de pruebas diagnósticas y un mayor uso de recursos sociosanitarios. Es necesaria una estrategia diagnóstica adecuada para poder realizar un tratamiento personalizado, que mejore los síntomas y la calidad de vida. En este documento de la SEC-Asociación de Cardiología Clínica, SEC-Asociación de Cardiología Intervencionista, SEC-Asociación de Cardiopatía Isquémica y Cuidados Agudos Cardiovasculares, y SEC-Asociación de Imagen Cardiaca, se establecen unos algoritmos sencillos y prácticos con el objetivo de facilitar el diagnóstico precoz y el tratamiento más adecuado de los pacientes con ANOCA.
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