Tag Archives: non-obstructive coronary artery disease

“Listen to your patient – he’ll give you the diagnosis” Sir William Osler A pivotal moment in clinical decision-making arises when patients presenting with typical – or indeed atypical – symptoms of angina receive noninvasive testing results indicating no evidence of obstructive CAD. This apparent discordance between the patient’s reported experience and the objective findings often presents a diagnostic dilemma. It is in our nature (and training) to question the subjective – the accuracy of the clinician’s initial assessment, the authenticity, or relevance, of the patient’s reported symptoms. This is especially likely if