Case and Plan:

55 year old female with obesity, pre-diabetes, dyslipidemia. Presenting with persistent and progressive exertional angina after walking 2 city blocks and now occurring on a daily basis. Symptoms resolve with the use of SLNTG. Has been to the ED 2x over the past 1 year for these symptoms. Cardiovascular work up included stress echo with (+) ST-depressions and CCTA with non-obstructive CAD. Pan for invasive Coronary Function Testing to guide further management.

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