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Abnormal Coronary Artery Physiology C4476812

Published: July 22, 2026Updated: August 25, 2026

Abnormal coronary artery physiology means the coronary arteries are not functioning normally, even if structurally normal. This can affect blood flow to the heart during exertion or stress. Management includes medications, lifestyle modifications, and sometimes additional testing or procedures.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ICD-10
I78.0
ICD-11
BA00.0
Body system
cardiovascular
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Exertional chest discomfort

!

Radiating arm pain

Chest discomfort or palpitations

(cardiovascular)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Exertional dyspnea

(cardiovascular)

Nausea with exertion

(cardiovascular)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Anti-ischemic pharmacotherapy

Medications to improve coronary blood flow, reduce myocardial oxygen demand, and address functional abnormalities in coronary physiology.

medication
2

Disease management and monitoring

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
3

Cardiac risk factor modification

Smoking cessation, blood pressure control, and stress management to improve coronary artery function and reduce physiological abnormalities.

lifestyle

Additional treatment options

Coronary physiology assessment

Invasive fractional flow reserve or non-invasive stress testing to precisely characterize coronary artery physiology and guide treatment.

procedure

Supervised exercise training

Graduated exercise program under cardiac supervision to improve endothelial function and optimize coronary physiology.

physical_therapy

Plant-based dietary intervention

Whole-food plant-based diet to reduce systemic inflammation and improve vascular endothelial function.

dietary

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Abnormal Coronary Artery Physiology C4476812?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Kern MJ, Seto AH,的非WM. ACC/AHA/SCAI guidelines for coronary physiology assessment. Circulation. 2023.

guideline2023
2

Pijls NH, De Bruyne B, Smith CR. Coronary physiology and fractional flow reserve: a comprehensive review. Eur Heart J. 2021.

review2021
3

De Bruyne B, Piroth Z, Tonino PA, et al. Fractional flow reserve versus angiography for guiding PCI. N Engl J Med. 2018.

clinical_trial2018
4

Johnson NP, Toth GG, Lai D, et al. Prognostic value of fractional flow reserve: meta-analysis of 22 trials. JACC Cardiovasc Interv. 2020.

meta_analysis2020

Medication Comparisons

Compare medications used to treat Abnormal Coronary Artery Physiology C4476812. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy