Very often we encounter a diagnostic problem in patients with symptoms and signs of cardiac ischaemia, but without overt disease in the epicardial coronary arteries. We used to disregard the findings and stop the diagnostic approach right there. Patients were reassured and sent home on the supposition that the symptoms were not related to the heart. In 2018 this is no longer acceptable for the patients (often female) and the treating physicians. But how are we going to illustrate a disease that is difficult to prove, comes with variable symptoms and is hard to treat in a customised way?
Sign in to read and download the full articleForgot your password?
Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com