Evidence mapPaperPMID 42494468Full record

ReviewMedComm2026

Coronary Microvascular Dysfunction: Epidemiology, Pathophysiology, Diagnosis, and Treatment.

Zhao Ge, MaoZe Zhang, Xujin Ning, Yijia Du, Lishuo Su, Xudong Wu, Jingyi Zhang, Tongzuo Liu, Xianliang Wang

Abstract readReview
In one paragraph

Review in MedComm, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Zhao GeFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China.
MaoZe ZhangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China.
Xujin NingFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China.
Yijia DuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China.
Lishuo SuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China.
Xudong WuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China.
Jingyi ZhangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China.
Tongzuo LiuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China.
Xianliang WangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary microvascular dysfunction (CMD) is a key contributor to myocardial ischemia and cardiovascular diseases. It is characterized by abnormalities of the coronary microvasculature, leading to impaired myocardial perfusion. Although CMD has a high prevalence in patients with nonobstructive coronary artery disease and is associated with adverse cardiovascular events, its pathogenesis has not yet been fully elucidated. Current diagnostic approaches combine noninvasive and invasive methods, but there remains a lack of effective targeted therapies. This review discusses the epidemiology, pathophysiology, diagnostic strategies, and treatment options for CMD, with a particular focus on the protective role of the neuregulin-1 (NRG-1)/v-erb-b2 erythroblastic leukemia viral oncogene homolog B (ErbB) signaling pathway. We initially outline how the NRG-1/ErbB pathway affects endothelial function, ventricular remodeling, oxidative stress, and myocardial angiogenesis, highlighting its potential as a therapeutic target. In addition, we explore emerging evidence that traditional Chinese medicine (TCM) interventions may regulate the NRG-1/ErbB axis to improve microvascular function and cardiac outcomes. Overall, this review deepens our understanding of the mechanisms underlying CMD and provides new avenues for integrated precision therapies, including TCM, with the aim of improving clinical management and prognosis in patients with CMD.

Indexed as

coronary microvascular dysfunctiondiagnosisNRG‐1/ErbB signaling pathwaytraditional Chinese medicinetreatment

Identifiers

PMID42494468
PMCPMC13392517

What Socratic holds

Textmetadata
LicenceCC BY
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.