Post-percutaneous coronary intervention angina: From physiopathological mechanisms to individualized treatment

Cardiol J. 2022;29(5):850-857. doi: 10.5603/CJ.a2021.0042. Epub 2021 Apr 12.

Abstract

Chronic ischemic heart disease (IHD) is a multifactorial disease with different underlying pathogenetic mechanisms. Percutaneous coronary intervention (PCI) is widely used in patients with IHD in order to reduce angina recurrence. However, after complete or incomplete revascularization procedures, patients may still present anginal symptoms, with a detrimental impact on quality of life and prognosis. This review summarizes the pathogenic mechanisms and the main challenges encountered in the diagnosis and management of post-PCI angina.

Keywords: angina; ischemic heart disease; medical therapy; percutaneous coronary intervention; quality of life.

Publication types

  • Review

MeSH terms

  • Angina Pectoris / diagnosis
  • Angina Pectoris / etiology
  • Angina Pectoris / therapy
  • Humans
  • Myocardial Ischemia* / diagnosis
  • Myocardial Ischemia* / therapy
  • Percutaneous Coronary Intervention* / adverse effects
  • Quality of Life
  • Treatment Outcome