CFT for Coronary Microvascular Dysfunction(CMD) Vasospastic Angina(VSA) and Other Endotypes of ANOCA

Case and Plan: 52-year-old female with persistent exertional substernal chest pain and dyspnea over the past 1 year with recent ED visit and work up including normal stress MPI and echocardiogram. Was started on empiric amlodipine for small vessel disease with minimal improvement. Plan for invasive CFT for ANOCA endotype specific guided therapy.