Ischemia With No Obstructive Coronary Artery Disease

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

JACC: Case Reports (Sep 2023)

Ischemia With No Obstructive Coronary Artery Disease

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

Affiliations

Giulia Ghizzoni, MD: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy
Giulia Botti: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy
Filippo Russo, MD: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
Luca Ferri, MD: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
Marco Ancona, MD: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
Barbara Bellini, MD: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
Ciro Vella, MD: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
Domitilla Gentile, MD: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy
Matteo Montorfano, MD: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy
Alaide Chieffo, MD: Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy; Address for correspondence: Prof Alaide Chieffo, University Vita-Salute San Raffaele, IRCSS Ospedale San Raffaele, Via Olgettina, 60, 20132 Milan, Italy.

Journal volume & issue: Vol. 22
p. 101978

Abstract

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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.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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