JoVE | Peer Reviewed Scientific Video Journal

TOPICAL COLLECTIONS

Standardization of the Technique for the Invasive Diagnosis of the Different Subtypes of Coronary Microvascular Dysfunction

Submit Abstract

Guest Editor

Hady Lichaa

Ascension Saint Thomas Heart – University of Tennessee Health Science Center

Hady Lichaa is an interventional cardiovascular specialist at Ascension Saint Thomas Heart in Murfreesboro and Nashville, Tennessee, USA. He is an Assistant Professor of Medicine at the University of Tennessee Health Science Center and core faculty in the UT Nashville Cardiovascular Disease Fellowship program His main clinical interests include complex coronary interventions with default radial artery access, coronary microvascular dysfunction, critical limb ischemia, management of complex peripheral arterial disease, and deep venous interventions. He is passionate about innovation in cardiovascular interventions to optimize procedural safety and clinical outcomes, while minimizing invasiveness of interventional techniques. He is also a strong believer in prevention of cardiovascular disease, through dietary optimization, lifestyle modifications, and medical therapy.

Collection Overview

Coronary microvascular dysfunction is a highly prevalent disease and is frequently encountered in daily practice of interventional cardiology. It is defined by the presence of typical angina or equivalent symptoms and the absence of fixed obstructive epicardial coronary artery disease.

These patients are frequently under-diagnosed and under-treated. They often require multiple hospitalizations, get frequent unnecessary testing/procedures, and require high healthcare expenditures without satisfactory clinical outcomes. Moreover, there are no rigorous standardized protocols, amongst the different international interventional cardiology societies, for the invasive diagnosis of the multiple subtypes of this condition.

This methods collection series aims at providing a practical step-by-step process, for the performance of these invasive diagnostic techniques in a systematic and standardized fashion. This will ultimately lead to tailoring of the appropriate medical therapy to the patient’s specific condition, hence improving clinical outcomes.