Microvascular angina is a common non obstructive coronary artery ischemic heart disease in clinical practice. Its diagnosis is often empirical and can be mistaken for symptoms caused by non-cardiac factors, leading to delayed progression. With the development and upgrading of modern diagnostic and treatment technologies, the pathogenesis, diagnosis and treatment of MVA are receiving increasing attention from clinical physicians. More and more studies have confirmed that coronary microcirculation plays an important role in myocardial ischemia. This article summarizes the pathogenesis and diagnosis and treatment recommendations of microvascular angina in relevant Chinese and foreign guidelines, hoping to provide new diagnosis and treatment ideas for microvascular angina.

Yichen Quan, Yuanlin Lei. Rethinking on the pathogenesis, diagnosis and treatment of microvascular angina disease based on Chinese and foreign guidelines. Frontiers in Medical Science Research (2023) Vol. 5, Issue 8: 130-135. https://doi.org/10.25236/FMSR.2023.050818.

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