The crucial importance of diagnosis and treatment of INOCA patients

Abstract

As the incidence of myocardial infarction increases and conventional angiography becomes widespread, cardiology specialists encounter ischemia with no obstructive coronary arteries (aka as MINOCA and INOCA) disease more frequently nowadays.We read with great interest the article by Pelliccia et al. in which they shed light on MINOCA disease [1]. Using adenosine-stress 13 N-ammonia positron emission tomography, Sakai et al. showed that INOCA patients had more deterioration in global coronary flow reserve than obstructive coronary artery disease (CAD) patients.