Case and Plan:
44-year-old male with hypertension, dyslipidemia and diabetes with 1 year of ER visits for recurrent intermittent chest pains with exertion radiating to his left shoulder and arm. Work up has involved a CCTA that showed non-obstructive CAD and a nuclear stress test that showed normal myocardial perfusion. He has been referred for comprehensive Coronary Function Testing to assess for coronary microvascular dysfunction (CMD), vasospastic angina (VSA) and other endotypes of ANOCA.
