Diffuse non-obstructive coronary artery disease: two clinical faces of the same disease-a case report.

ABSTRACT:

Background

Coronary artery disease has a long preclinical phase before manifesting itself clinically due to diffuse non-obstructive disease, stenoses, or thrombosis.

Case summary

We present a case of a middle-aged male complaining of atypical chest pain, then severe retrosternal pain, and, eventually, effort angina. We performed non-invasive testing, coronary angiography, intravascular imaging, and flow reserve tests, each as appropriate. Cardiovascular risk control, optimization of drug therapy, and percutaneous coronary intervention were considered trying to comply with the best clinical practice.

Discussion

Diffuse non-obstructive coronary artery disease may present clinically in different ways. Exercise stress test might be sufficient to assess effort angina befor

SUBMITTER: Klemenc M 

PROVIDER: S-EPMC10762887 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature