Clinical Conversation: Prevalence of Coronary Microvascular Dysfunction and Epicardial Spasm in Patients with Angina and Myocardial Bridge-Clinical Conversation: Prevalence of Coronary Microvascular Dysfunction and Epicardial Spasm in Patients with Angina and Myocardial Bridge

Clinical Conversation: Prevalence of Coronary Microvascular Dysfunction and Epicardial Spasm in Patients with Angina and Myocardial Bridge

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Video Summary

In this episode of Conversations in Interventional Cardiology, Dr. Andy Goldswog hosts a discussion on a landmark study published in J-SKY, which evaluates the prevalence of coronary microvascular dysfunction and epicardial spasm in patients with angina and myocardial bridges. Dr. Tess Allen and Dr. John Blair, among others, delve into the study's methodology and findings, highlighting that a significant percentage of patients with myocardial bridges exhibit additional coronary disorders contributing to chest pain. The panel emphasizes the need for comprehensive diagnostic protocols to assess microvascular dysfunction and spasm, advocating for treatment tailored to individual patient physiology. The discussion also underlines the necessity of improving insurance coverage for advanced testing and ensuring equitable healthcare access, particularly for women, who are predominantly affected by these conditions. The conversation sets the stage for future research and policy developments aimed at improving patient outcomes in cardiovascular care.

Asset Subtitle

Andrew Goldsweig, MD, MSc, FSCAI
Tess E. Allan, MD
John E. A. Blair, MD
Samit M. Shah, MD, PhD. FSCAI
Odayme Quesada, MD

Keywords

coronary microvascular dysfunction

myocardial bridges

angina

diagnostic protocols

equitable healthcare access

cardiovascular care