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


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.).

SUBMITTER: Ghizzoni G 

PROVIDER: S-EPMC10544425 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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

Ghizzoni Giulia G   Botti Giulia G   Russo Filippo F   Ferri Luca L   Ancona Marco M   Bellini Barbara B   Vella Ciro C   Gentile Domitilla D   Montorfano Matteo M   Chieffo Alaide A  

JACC. Case reports 20230810


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. (<b>Level of Difficulty: Advanced.</b>). ...[more]

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