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Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
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Intracoronary Full Physiology and Imaging Unveiling a Rare Cause of MINOCA Presenting as Ventricular Fibrillation

Maria Federica Crociani1, Carlo Di Mario2, Niccolò Ciardetti3

  • 1Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

JACC. Case Reports
|September 26, 2025
PubMed

Insights

Diagnosing coronary artery disease without blockages requires invasive imaging and physiology. This approach identifies functional abnormalities and guides personalized treatment, resolving symptoms effectively.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging
  • Interventional Cardiology

Background:

  • Nonobstructive coronary artery disease presents diagnostic challenges, particularly in patients with recurrent chest pain and inconclusive non-invasive imaging.
  • Coronary functional abnormalities, including vasospasm, microvascular dysfunction, and myocardial bridging, are significant contributors to myocardial ischemia.
Abstract

Keywords:
coronary angiographycoronary circulationimagingmyocardial infarctionmyocardial ischemiaventricular fibrillation

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