Evidence map›Paper›PMID 40869590›Full record

ReviewJournal of clinical medicine2025

Ischemia with Non-Obstructive Coronary Artery Disease: Sex-Based Differences in Pathophysiology, Clinical Presentation, and Prognosis.

Filippo Luca Gurgoglione, Giorgio Benatti, Andrea Denegri, Emilia Solinas, Iacopo Tadonio, Mattia De Gregorio, Laura Torlai Triglia, Davide Donelli, Marco Covani, Gabriella Dallaglio and 5 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Filippo Luca GurgoglioneDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.
Giorgio BenattiDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.ORCID 0000-0002-3695-0409
Andrea DenegriDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.ORCID 0000-0001-5095-1523
Emilia SolinasDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.
Iacopo TadonioDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.
Mattia De GregorioDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.ORCID 0009-0007-9771-4980
Laura Torlai TrigliaDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.ORCID 0000-0002-0645-8974
Davide DonelliDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.ORCID 0000-0002-7895-2840
Marco CovaniDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.ORCID 0000-0003-3587-1458
Gabriella DallaglioDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.ORCID 0009-0001-0487-2397
Federico BarocelliDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.ORCID 0000-0002-1412-4747
Giulia MagnaniDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.
Michele RussoDepartment of Cardiology, SS. Annunziata Hospital, ASL2 Abruzzo, 66013 Chieti, Italy.ORCID 0000-0001-6602-971X
Luigi VignaliDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.
Giampaolo NiccoliDivision of Cardiology, Parma University Hospital, 43126 Parma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemia with non-obstructive coronary arteries (INOCA) is a chronic coronary condition associated with poor prognosis and reduced quality of life. The increasing use of invasive assessments of microcirculatory function and provocative spasm testing has significantly advanced the understanding of INOCA's pathophysiology, which ranges from coronary microvascular dysfunction to vasomotor disorders. However, the optimal management and therapeutic approach for INOCA remain to be determined. Significant sex-based differences in the pathophysiology of INOCA have been reported, resulting in variations in prevalence, phenotype, and natural history between male and female patients. The aim of this narrative review is to provide a comprehensive overview of the sex-specific pathophysiological mechanisms underlying INOCA and to summarize the differences in INOCA phenotype and prognosis. Additionally, we will explore the current knowledge on management and therapy, with the goal of advancing towards sex-based personalized treatment strategies for INOCA.

Indexed as

coronary microvascular dysfunctiongender differencesprognosis

Identifiers

PMID40869590
PMCPMC12386650

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.