Ischemia With No Obstructive Coronary Artery Disease
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...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | JACC: Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084923003030 |
| _version_ | 1827867542333423616 |
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| author | Giulia Ghizzoni, MD Giulia Botti Filippo Russo, MD Luca Ferri, MD Marco Ancona, MD Barbara Bellini, MD Ciro Vella, MD Domitilla Gentile, MD Matteo Montorfano, MD Alaide Chieffo, MD |
| author_facet | Giulia Ghizzoni, MD Giulia Botti Filippo Russo, MD Luca Ferri, MD Marco Ancona, MD Barbara Bellini, MD Ciro Vella, MD Domitilla Gentile, MD Matteo Montorfano, MD Alaide Chieffo, MD |
| author_sort | Giulia Ghizzoni, MD |
| collection | DOAJ |
| description | 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.) |
| first_indexed | 2024-03-12T15:18:58Z |
| format | Article |
| id | doaj.art-7b2df0dcbac74789871b0848cedd97a0 |
| institution | Directory Open Access Journal |
| issn | 2666-0849 |
| language | English |
| last_indexed | 2024-03-12T15:18:58Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj.art-7b2df0dcbac74789871b0848cedd97a02023-08-11T05:35:19ZengElsevierJACC: Case Reports2666-08492023-09-0122101978Ischemia With No Obstructive Coronary Artery DiseaseGiulia Ghizzoni, MD0Giulia Botti1Filippo Russo, MD2Luca Ferri, MD3Marco Ancona, MD4Barbara Bellini, MD5Ciro Vella, MD6Domitilla Gentile, MD7Matteo Montorfano, MD8Alaide Chieffo, MD9Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy; Address for correspondence: Prof Alaide Chieffo, University Vita-Salute San Raffaele, IRCSS Ospedale San Raffaele, Via Olgettina, 60, 20132 Milan, Italy.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.)http://www.sciencedirect.com/science/article/pii/S2666084923003030INOCAmisdiagnosistailored therapy |
| spellingShingle | Giulia Ghizzoni, MD Giulia Botti Filippo Russo, MD Luca Ferri, MD Marco Ancona, MD Barbara Bellini, MD Ciro Vella, MD Domitilla Gentile, MD Matteo Montorfano, MD Alaide Chieffo, MD Ischemia With No Obstructive Coronary Artery Disease JACC: Case Reports INOCA misdiagnosis tailored therapy |
| title | Ischemia With No Obstructive Coronary Artery Disease |
| title_full | Ischemia With No Obstructive Coronary Artery Disease |
| title_fullStr | Ischemia With No Obstructive Coronary Artery Disease |
| title_full_unstemmed | Ischemia With No Obstructive Coronary Artery Disease |
| title_short | Ischemia With No Obstructive Coronary Artery Disease |
| title_sort | ischemia with no obstructive coronary artery disease |
| topic | INOCA misdiagnosis tailored therapy |
| url | http://www.sciencedirect.com/science/article/pii/S2666084923003030 |
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