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.)
Ischemia With No Obstructive Coronary Artery Disease: Are Misdiagnosis and Undertreatment Always Behind the Corner? / Ghizzoni, G.; Botti, G.; Russo, F.; Ferri, L.; Ancona, M.; Bellini, B.; Vella, C.; Gentile, D.; Montorfano, M.; Chieffo, A.. - In: JACC. CASE REPORTS. - ISSN 2666-0849. - 22:(2023). [10.1016/j.jaccas.2023.101978]
Ischemia With No Obstructive Coronary Artery Disease: Are Misdiagnosis and Undertreatment Always Behind the Corner?
Montorfano M.Penultimo
;Chieffo A.
Ultimo
2023-01-01
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.)| File | Dimensione | Formato | |
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