Frontiers in Cardiovascular Medicine (Jul 2023)

Case report: Repeat coronary function testing in women with ischemia and no obstructive coronary artery disease

  • Nissi Suppogu,
  • Benita Tjoe,
  • Janet Wei,
  • Jenna Maughan,
  • Sandy Joung,
  • Odayme Quesada,
  • Chrisandra L. Shufelt,
  • Bruce Samuels,
  • Babak Azarbal,
  • C. Noel Bairey Merz

DOI
https://doi.org/10.3389/fcvm.2023.1096265
Journal volume & issue
Vol. 10

Abstract

Read online

Women with signs and symptoms of ischemia and no obstructive coronary artery disease (INOCA) often have coronary microvascular dysfunction (CMD). It can be diagnosed by coronary function testing (CFT), which is an invasive coronary angiogram procedure. Frequently, these women have persistent angina despite medical therapy, but it is not clear whether it is due to worsening or persistent CMD or inadequate therapy. In this brief report, we describe findings of repeat CFT in a case series of 12 women undergoing repeat CFT for the assessment of persistent angina in order to better understand the evolving pathology.

Keywords