www.metcardio.org REFRACTORY ANGINA : REFRACTORY ANGINA : Definition, epidemiology, and Definition, epidemiology, and management management Giuseppe Biondi-Zoccai Giuseppe Biondi-Zoccai Ospedale S. Giovanni Battista “Molinette” Università di Torino Congresso Nazionale della Società Italiana di Cardiologia – Roma, 17 Dicembre 2007 (h 15.00-15.10)
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Www.metcardio.org REFRACTORY ANGINA : Definition, epidemiology, and management Giuseppe Biondi-Zoccai Ospedale S. Giovanni Battista “Molinette” Università.
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www.metcardio.org
REFRACTORY ANGINA : REFRACTORY ANGINA :
Definition, epidemiology, and Definition, epidemiology, and
managementmanagement
Giuseppe Biondi-ZoccaiGiuseppe Biondi-Zoccai
Ospedale S. Giovanni Battista “Molinette”
Università di Torino
Congresso Nazionale della Società Italiana di Cardiologia – Roma, 17 Dicembre 2007 (h 15.00-15.10)
www.metcardio.org
What is refractory angina?
-> Definition
Does refractory angina really exist?
->
Epidemiology
Can I do anything about it?
-> Management
Learning goalsLearning goals
www.metcardio.org
What is refractory angina?
-> Definition
Learning goalsLearning goals
www.metcardio.org
Mechanism of angina pectorisMechanism of angina pectoris
DeJongste et al, Heart 2004
AUTONOMIC
NERVOUS
SYSTEM
LIMBIC
SYSTEM
MECHANICAL AND
CHEMICUAL STIMULI
?
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Refractory angina: Refractory angina: scope of the problemscope of the problem
Abbate et al, Eur Heart J 2007
MICROVASCULAR
DYSFUNCTION REFRACTORY
ANGINA
INCOMPLETE
REVASCULARIZATION
RECURRENT
ANGINA
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Recurrent angina: a true challengeRecurrent angina: a true challenge