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. 2022 Oct 25;2022:6080258. doi: 10.1155/2022/6080258

Table 1.

Recently-published articles on management of MVA.

Study Design Treatment Duration Results Ref
Henry et al. [206] Pilot clinical trial Autologous CD34+ stem cell therapy 180 days (i) Improved coronary flow reserve (2.08 ± 0.32 changed to 2.68 ± 0.79; p < 0.005)
(ii) Decreased angina frequency (p < 0.004)
(iii) Improved Canadian cardiovascular society class (p < 0.001)
(iv) Improved quality of life (p ≤ 0.04)
[206]

Zhang et al. [55] RCT Group 1: fluvastatin (statin; 40 mg daily)
Group 2: diltiazem (CCB; 90 mg daily)
Group 3: statin and CCB
90 days (i) Improved coronary flow reserve (23.2%, 12.4%, and 29.1% in groups 1 to 3, respectively; p < 0.05)
(ii) Increased time to 1 mm ST segment depression (241 ± 97 to 410 ± 140 s, p < 0.05 in group 1; 258 ± 91 to 392 ± 124 s, p < 0.05 in group 2, and 250 ± 104 to 446 ± 164 s, p < 0.05 in group 3)
[55]

Kabaklić et al. [207] Pilot RCT Atorvastatin (20 mg daily) 90 and 180 days (i) Improved flow-mediated dilation (p < 0.001 for 90 and 180 days)
(ii) No difference in reactive hyperemia index
(iii) Insignificant improvement in rate-normalized augmentation index (p = 0.077)
[207]

Makarewicz-Wujec et al. [208] RCT DASH diet 12 months (i) Insignificant reduction in RANTES (42.7 ± 21.1 to 38.1 ± 18.5, p = 0.134)
(ii) Reduced CXCL4 (12.38 ± 4.1 to 8.36 ± 2.3, p < 0.001)
[208]

Ref: reference; RCT: randomized controlled trial; CCB: calcium channel blocker; DASH: dietary approaches to stop hypertension.