Ischemia With No Obstructive Coronary Artery Disease

Authors :: Giulia Ghizzoni, MD
Giulia Botti
Filippo Russo, MD
Luca Ferri, MD
Marco Ancona, MD
Barbara Bellini, MD
Ciro Vella, MD
Domitilla Gentile, MD
Matteo Montorfano, MD
Alaide Chieffo, MD
Source :: JACC: Case Reports, Vol 22, Iss , Pp 101978- (2023)
Publication Year :: 2023
Publisher :: Elsevier, 2023.
Abstract: Ischemia with no obstructive coronary artery disease (INOCA) is not an uncommon diagnosis in patients presenting with chest pain who undergo clinically indicated coronary angiography. However, the symptoms reported by patients with INOCA may be heterogeneous, leading to misdiagnosis and undertreatment. Herein we report 3 clinical cases of INOCA misdiagnosis and describe how the cases were reinvestigated following the appropriate diagnostic pathway. (Level of Difficulty: Advanced.)