Evidence map›Paper›PMID 34902504›Full record

ReviewInternational journal of cardiology2022

Ischemia and no obstructive coronary arteries in patients with stable ischemic heart disease.

Puja K Mehta, Odayme Quesada, Ahmed Al-Badri, Jerome L Fleg, Annabelle Santos Volgman, Carl J Pepine, C Noel Bairey Merz, Leslee J Shaw

Open access · greenAbstract readReview
In one paragraph

Review in International journal of cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
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  7. EASIX (endothelial activation and stress index) predicts mortality in patients with coronary artery disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Clinical aspects of ischemia with no obstructive coronary artery disease (INOCA).American heart journal plus : cardiology research and practice · 2024
    Article
  13. Review
  14. Prognostic value of myocardial flow reserve measured with CZT cardiac-dedicated SPECT low-dose dynamic myocardial perfusion imaging in patients with INOCA.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  15. All that glisters is not gold: the elusive difference between statistics and pathophysiology.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Puja K MehtaEmory Women's Heart Center, Division of Cardiology, Emory University, Atlanta, GA, United States of America. Electronic address: pkmehta@emory.edu.
Odayme QuesadaBarbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, United States of America.
Ahmed Al-BadriEmory Women's Heart Center, Division of Cardiology, Emory University, Atlanta, GA, United States of America.
Jerome L FlegDivision of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, MD, United States of America.
Annabelle Santos VolgmanSection of Cardiology, Rush University Medical Center, Chicago, IL, United States of America.
Carl J PepineDivision of Cardiology, University of Florida, Gainesville, FL, United States of America.
C Noel Bairey MerzBarbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, United States of America.
Leslee J ShawDepartment of Radiology, Weill-Cornell Medical College, New York, NY, United States of America.
Cedars-Sinai Smidt Heart Institute · USEmory University · USCornell University · USNational Heart Lung and Blood Institute · USRush University Medical Center · USUniversity of Florida · US

Funding

Hypertensive Disorders of Pregnancy: Pathways to Future Cardiovascular DiseaseK23HL151867 · NHLBI · THE CHRIST HOSPITAL · PI QUESADA, ODAYME · 2020 to 2024
$799k
NHLBI NIH HHS K23 HL151867
6 · The paper itself

Abstract

A large proportion of patients with suspected obstructive coronary artery disease (CAD) is found to have ischemia with no obstructive coronary artery disease (INOCA). Based on current evidence, these patients are at increased risk of adverse cardiovascular events, even though they have no obstructive CAD. Importantly, INOCA is associated with recurrent clinical presentations with chest pain, impaired functional capacity, reduced health-related quality of life, and high healthcare costs. Underlying coronary microvascular dysfunction (CMD), through endothelium-dependent and independent mechanisms contribute to these adverse outcomes in INOCA. While non-invasive and invasive diagnostic testing has typically focused on identification of obstructive CAD in symptomatic patients, functional testing to detect coronary epicardial and microvascular dysfunction should be considered in those with INOCA who have persistent angina. Current diagnostic methods to clarify functional abnormalities and treatment strategies for epicardial and/or microvascular dysfunction in INOCA are reviewed.

Indexed as

Coronary Artery DiseaseMyocardial IschemiaCoronary VesselsHumansIschemiaMicrocirculationQuality of LifeAtherosclerosisCoronary artery diseaseFunctional imagingIschemic heart disease

Identifiers

PMID34902504
PMCPMC8779638
OpenAlexW4200137822

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.