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      Global trends and frontiers in research on coronary microvascular dysfunction: a bibliometric analysis from 2002 to 2022

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          Abstract

          Background

          Coronary microvascular dysfunction (CMD) is a leading cause of ischemic heart disease. Over the past few decades, considerable progress has been made with respect to research on CMD. The present study summarized the current research hotspots and trends on CMD by applying a bibliometric approach.

          Methods

          Relevant publications between 2002 and 2022 were extracted from the Web of Science Core Collection. Visualization network maps of countries, institutions, authors, and co-cited authors were built using VOSviewer. CiteSpace was used for keyword analysis and the construction of a dual-map overlay of journals and a timeline view of co-cited references.

          Results

          1539 CMD-related publications were extracted for bibliometric analysis. The annual publications generally showed an upward trend. The United States of America was the most prolific country, with 515 publications (33.5%). Camici P. G. was the most influential author, whereas the European Heart Journal, Circulation, and Journal of the American College of Cardiology were the most authoritative journals. Research hotspot analysis revealed that endothelial dysfunction as well as reduced nitric oxide production or bioavailability played critical roles in CMD development. Positron emission tomography was the most widely used imaging method for diagnosis. In addition, microvascular angina, hypertrophic cardiomyopathy, and heart failure have attracted much attention as the main clinical implications. Furthermore, international standards for CMD diagnosis and management may be the future research directions.

          Conclusions

          This study offers a comprehensive view about the hotspots and development trends of CMD, which can assist subsequent researchers and guide future directions.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s40001-022-00869-8.

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          Most cited references90

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          2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes

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            Multisociety Consensus Quality Improvement Revised Consensus Statement for Endovascular Therapy of Acute Ischemic Stroke.

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              International standardization of diagnostic criteria for microvascular angina.

              Standardization of diagnostic criteria for ischemic symptoms due to coronary microvascular dysfunction (CMD) is needed for further investigation of patients presenting with anginal chest pain consistent with "microvascular angina" (MVA). At the annual Coronary Vasomotion Disorders International Study Group (COVADIS) Summits held in August 2014 and 2015, the following criteria were agreed upon for the investigative diagnosis of microvascular angina: (1) presence of symptoms suggestive of myocardial ischemia; (2) objective documentation of myocardial ischemia, as assessed by currently available techniques; (3) absence of obstructive CAD ( 0.80) (4) confirmation of a reduced coronary blood flow reserve and/or inducible microvascular spasm. These standardized criteria provide an investigative structure for mechanistic, diagnostic, prognostic and clinical trial studies aimed at developing an evidence base needed for guidelines in this growing patient population. Standardized criteria will facilitate microvascular angina registries and recruitment of suitable patients into clinical trials. Mechanistic research will also benefit from the implementation of standardized diagnostic criteria for MVA.
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                Author and article information

                Contributors
                heqingyongg@163.com
                Journal
                Eur J Med Res
                Eur J Med Res
                European Journal of Medical Research
                BioMed Central (London )
                0949-2321
                2047-783X
                5 November 2022
                5 November 2022
                2022
                : 27
                : 233
                Affiliations
                [1 ]GRID grid.410318.f, ISNI 0000 0004 0632 3409, Department of Cardiology, Guang’anmen Hospital, , China Academy of Chinese Medical Sciences, ; Beijing, China
                [2 ]GRID grid.24695.3c, ISNI 0000 0001 1431 9176, Graduate School, , Beijing University of Chinese Medicine, ; Beijing, China
                [3 ]GRID grid.256922.8, ISNI 0000 0000 9139 560X, Graduate School, , Henan University of Chinese Medicine, ; Zhengzhou, Henan China
                Article
                869
                10.1186/s40001-022-00869-8
                9636644
                36335406
                5a69b23a-0e80-4d15-bc97-1680998f7159
                © The Author(s) 2022

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 8 October 2022
                : 25 October 2022
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100005090, Beijing Nova Program;
                Award ID: Z181100006218035
                Award Recipient :
                Funded by: Traditional Chinese Medicine Ancient Book Documents and Characteristic Technology Inheritance Project of the National Administration of Traditional Chinese Medicine
                Award ID: GZY-KJS-2020-079
                Award Recipient :
                Categories
                Review
                Custom metadata
                © The Author(s) 2022

                Medicine
                coronary microvascular dysfunction,bibliometric analysis,vosviewer,citespace,visual analysis

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