Inoca and Its Diagnosis by Microvascular Study, A Case Report

Bomonyo Fente, Ahmad El-Said, Hilda Yuson, Gavin Galasko · 2026

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Description

Bomonyo Fente and co-authors present a man whose heart pain came from tiny vessels, not blocked arteries. Their 2026 case report covers a man in his sixties with repeated night-time chest pain and test signs of ischaemia, the state where heart muscle starves for blood. Angiography found no obstruction, a pattern now named INOCA that leaves many patients without an answer.

An invasive microvascular study then measured how his smallest coronary vessels behave, confirming clear microvascular dysfunction behind the attacks. Spasm in the large or small vessels can produce the same picture, so the added testing separates causes that plain angiography cannot. The authors use the case to argue that a clean angiogram should start, not end, the search.

Catalog record

CREATORBomonyo Fente, Ahmad El-Said, Hilda Yuson, Gavin Galasko
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE18702
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13398188

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