Ischemia With No Obstructive Coronary Artery Disease: Are Misdiagnosis and Undertreatment Always Behind the Corner?

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 undertreatme...

Descripción completa

Detalles Bibliográficos
Autores principales: Ghizzoni, Giulia, Botti, Giulia, Russo, Filippo, Ferri, Luca, Ancona, Marco, Bellini, Barbara, Vella, Ciro, Gentile, Domitilla, Montorfano, Matteo, Chieffo, Alaide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544425/
https://www.ncbi.nlm.nih.gov/pubmed/37790775
http://dx.doi.org/10.1016/j.jaccas.2023.101978
Descripción
Sumario: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.)

Ejemplares similares