TABLE 1 ∣.
Endotype descriptions.
| CMVD endotypes | Pathophysiology | Diagnostic cut off | Technique |
|---|---|---|---|
| Adenosine testing | |||
| Endothelial independent CMD | Impaired vasodilation endothelial independent dysfunction | CFR < 2.5 HMR > 2.5 IMR > 25 MRR < 2.7 |
Doppler/thermodilution doppler thermodilution thermodilution |
| Acetylcholine testing | |||
| Endothelial dependent CMD | Impaired vasodilation endothelial dependent dysfunction | <50% ΔCBF Δ coronary diameter (%) | Doppler doppler/thermodilution |
| Microvascular vasospastic angina (MVA) | Abnormal microvascular vasoconstriction | <90% coronary constriction, Ischemic ECG, Angina | Doppler/thermodilution |
| Epicardial vasospastic angina (VSA) | Abnormal epicardial vasoconstriction | >90% coronary vasospasm, ischemic ECG, angina | Doppler/thermodilution |