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10/24/2025 9:58:11 AM | Browse: 5 | Download: 0
Publication Name World Journal of Cardiology
Manuscript ID 108594
Country Australia
Received
2025-04-18 05:13
Peer-Review Started
2025-04-18 05:13
To Make the First Decision
Return for Revision
2025-05-17 08:45
Revised
2025-05-31 08:41
Second Decision
2025-09-18 02:54
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-09-19 02:10
Articles in Press
2025-09-19 02:10
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-10-17 02:09
Publish the Manuscript Online
2025-10-24 09:58
ISSN 1949-8462 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Cardiac & Cardiovascular Systems
Manuscript Type Review
Article Title Vasospastic angina: Pathophysiology, diagnosis, and emerging therapeutic approaches
Manuscript Source Invited Manuscript
All Author List Kristoffer Ken Ralota and Jamie Layland
ORCID
Author(s) ORCID Number
Kristoffer Ken Ralota http://orcid.org/0009-0002-8261-6222
Jamie Layland http://orcid.org/0000-0003-2002-5785
Funding Agency and Grant Number
Corresponding Author Jamie Layland, Consultant, FRACP, MD, MRCP, PhD, Professor, Senior Researcher, Department of Medicine, Peninsula Clinical School, Monash University, 2 Hastings Road, Frankston 3199, Victoria, Australia. jlayland@phcn.vic.gov.au
Key Words Provocation testing; Coronary microvascular dysfunction; Ischemia with non-obstructive coronary arteries; Coronary vasospasm; Vasospastic angina
Core Tip Vasospastic angina (VSA) is an under-recognized but clinically significant cause of myocardial ischemia, arrhythmia, and sudden cardiac death in patients without obstructive coronary artery disease. This narrative review provides an up-to-date revision of VSA pathophysiology, diagnostic strategies including provocation testing, and current guideline-recommended management. It also highlights promising emerging therapies—such as Rho-kinase inhibitors, endothelin receptor antagonists, and immunomodulatory agents—offering new hope for patients with refractory symptoms. Recognizing and treating VSA proactively can reduce adverse events and improve quality of life in this high-risk yet often overlooked condition.
Publish Date 2025-10-24 09:58
Citation <p>Ralota KK, Layland J. Vasospastic angina: Pathophysiology, diagnosis, and emerging therapeutic approaches. <i>World J Cardiol</i> 2025; 17(10): 108594</p>
URL https://www.wjgnet.com/1949-8462/full/v17/i10/108594.htm
DOI https://dx.doi.org/10.4330/wjc.v17.i10.108594
Full Article (PDF) WJC-17-108594-with-cover.pdf
Manuscript File 108594_Auto_Edited_095939.docx
Answering Reviewers 108594-answering-reviewers.pdf
Audio Core Tip 108594-audio.mp3
Conflict-of-Interest Disclosure Form 108594-conflict-of-interest-statement.pdf
Copyright License Agreement 108594-copyright-assignment.pdf
Peer-review Report 108594-peer-reviews.pdf
Scientific Misconduct Check 108594-scientific-misconduct-check.png
Scientific Editor Work List 108594-scientific-editor-work-list.pdf
CrossCheck Report 108594-crosscheck-report.pdf