Interv Akut Kardiol. 2019;18(1):23-27 | DOI: 10.36290/kar.2018.021

Nonatherosclerotic coronary artery diseases

David Horák

Kardiologické oddělení, Kardiocentrum Nemocnice Na Homolce, Praha

Klinika kardiologie, Krajská zdravotní, a.s., Masarykova nemocnice v Ústí nad Labem, o. z., Ústí nad Labem

Kardiologie – Liberec, s.r.o., Liberec

Cardiovascular diseases including ischaemic heart disease account for major morbidity and mortality. In western societies, atherosclerosis is certainly the leading cause of coronary artery disease. However, some less frequent diseases that can also affect the coronary arteries should not be neglected either. This involves a wide range of various diseases. They include congenital coronary artery anomalies, spontaneous dissections (often associated with fibromuscular dysplasia), myocardial bridging, and various systemic inflammatory diseases that can affect the coronary arteries in different ways. The diagnosis is mainly based on imaging studies. The treatment depends on the particular disease, and even though some conditions may mimic atherosclerotic disease, the outcomes of standard procedures may be less satisfactory, or even inadequate.

Keywords: IHD, coronary arteries, anomalous origin of coronary artery, myocardial bridging, fibromuscular dysplasia, systemicinflammatory diseases, vasculitis

Received: September 13, 2018; Accepted: September 20, 2018; Published: March 8, 2019  Show citation