©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jan 26, 2025; 17(1): 100203
Published online Jan 26, 2025. doi: 10.4330/wjc.v17.i1.100203
Published online Jan 26, 2025. doi: 10.4330/wjc.v17.i1.100203
Known yet underdiagnosed: Invasive assessment of coronary microvascular disease and its implications
Sukhdeep Bhogal, Department of Cardiology, Sovah Health, Martinsville, VA 24112, United States
Akash Batta, Bishav Mohan, Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana 141001, Punjab, India
Author contributions: Bhogal S performed the literature review and data collection; Bhogal S and Batta A designed the editorial, analysed the data and wrote the manuscript and subsequently revised it; Bhogal S and Mohan B supervised the manuscript and provided key feedback and suggestions; all authors have read and approved the final manuscript.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
Corresponding author: Akash Batta, Associate Professor, MD, Department of Cardiology, Dayanand Medical College and Hospital, Tagore Nagar, Civil Lines, Ludhiana 141001, Punjab, India. akashbatta02@gmail.com
Received: August 9, 2024
Revised: December 22, 2024
Accepted: January 3, 2025
Published online: January 26, 2025
Processing time: 164 Days and 13 Hours
Revised: December 22, 2024
Accepted: January 3, 2025
Published online: January 26, 2025
Processing time: 164 Days and 13 Hours
Core Tip
Core Tip: Coronary microvascular disease (CMD) is one of the commonest causes of chest pain in outpatient clinics and yet is grossly underappreciated and undertreated. Despite the increasing awareness in cardiology community about CMD, there is still a huge lacuna in our approach to identifying and managing this entity. In this editorial, we review the most recent literature surrounding CMD and in particular we focus on its invasive assessment and diagnosis in the cardiac catheterization laboratory. Further, we discuss how this knowledge will ultimately translate into clinical benefit for the patients and why knowledge about CMD is an absolute necessity in today’s world.