How Non-Obstructive CAD Can Occur
Microvascular Dysfunction
Even without significant blockage in the large coronary arteries, dysfunction in the heart's small vessels can lead to chest pain.
Coronary Vasospasm
Temporary constriction of the coronary arteries can cause pain even when angiography shows no visible blockage.
Persistent Chest Pain
Even with a clean angiography result, some patients continue to experience chest pain and limited exercise tolerance.
Diagnostic Difficulty
Non-obstructive CAD is not always easily detected with standard angiography, and additional testing may be needed.
How EECP Is Considered in Non-Obstructive CAD
Aims to Support the Microcirculation
The rhythmic pressure effect created by EECP is intended to support circulation in the small vessels.
May Be Considered for Persistent Symptoms
It can be an approach the cardiology team considers when angiography is clean but symptoms persist.
A Non-Surgical Method
It is an outpatient option that does not require incisions or invasive procedures.
Planned Through Cardiology Evaluation
Suitability for EECP is determined only after a detailed cardiology examination.
Who Might Consider an EECP Evaluation
Clean Angiography, Persistent Symptoms
Patients with no significant blockage on angiography whose symptoms continue.
Symptoms Despite Medication
Patients whose chest pain continues despite an appropriate medication regimen.
Surgery Not an Option or Not Required
Patients for whom an invasive procedure is not indicated or not preferred.
Research on EECP specifically for non-obstructive CAD, INOCA, and ANOCA remains limited, and this area continues to be studied. EECP does not guarantee symptom relief or a cure; it is considered, when appropriate, as a complementary option alongside medication, risk-factor management, and regular cardiology follow-up.