This report reviews the current progress in understanding of clinical manifestation, epidemiology, diagnosis and treatment strategies in fibromuscular dysplasia (FMD) involving coronary arteries. FMD involving the coronary arteries is believed to be rare but it may lead to serious, life-threating consequences including acute myocardial infarction or sudden cardiac death. The most common coronary manifestations are presented by irregular stenosis, arterial enlargement, dissection, distal tapering, smooth narrowings, and excessive coronary tortuosity with additional markers of tortuosity leading to spontaneous coronary dissection in some cases. The etiology of the disease is poorly understood but presumably the pathogenesis of FMD is associated with combination of genetic and environmental factors. There is limited data on FMD with coronary involvement, management and treatment of the disease, but many acute vascular lesions may heal spontaneously and conservative approach is preferred. The pharmacological management with antihypertensive drugs, especially in patients with concomitant hypertension, and antiplatelet therapy should be considered in patients with confirmed FMD.

Katarzyna Szkamruk

Mariusz Kruk

Jacek Kądziela

Paulina Talarowska

Andrzej Januszewicz

Arterial Hypertension

Arterial Hypertension hereinafter referred to as ‘AH’ or ′the Journal′, is a peer-reviewed, open access journal covering broad spectrum of topics in hypertension and aiming to advance the knowledge and science of this constantly evolving field. The Journal is the official quarterly of the Polish Society of Hypertension and publishes review articles, original clinical and experimental investigations in the field of arterial hypertension, case reports, letters and editorial comments. The Journal's content has been published predominantly in full text English since 2015.

Arterial Hypertension, hereinafter referred to as 'AH' or 'the Journal', is a peer-reviewed, open access journal that covers a wide range of topics in the field of hypertension, aiming to advance knowledge and science in this constantly evolving area. The Journal is the official quarterly publication of the Polish Society of Hypertension and publishes review articles, original clinical and experimental investigations, case reports, letters, and editorial comments. Since 2015, the Journal's content has predominantly been published in full text in English.

《Arterial Hypertension》是一本经过同行评审的开放获取期刊，涵盖高血压领域的广泛主题，旨在推动这一不断发展的领域的知识和科学进步。该期刊是波兰高血压学会的官方季刊，发表高血压领域的综述文章、原创临床和实验研究、病例报告、信件及编辑评论。自2015年以来，期刊的内容主要以英文全文形式发布。

Coronary artery involvement in fibromuscular dysplasia (FMD): a review

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Journal Info

Category	Quartile
PERIPHERAL VASCULAR DISEASE	4