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Early diagnosis and management with antianginal medications are essential for improving outcomes and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Cardiovascular diseases are still the main cause of death in many parts of the world. Chest pain and dyspnea are always concerning due to the implications of cardiovascular disease. However, in patients with the involvement of the small coronary vessels (Microvascular Angina), symptoms might be recurrent and persistent despite the presence of normal coronary vessel evaluations. A 45\u2010year\u2010old man with a 25\u2010year smoking history presented with recurrent chest pain, especially during physical activity, and mild shortness of breath. He was admitted, and a coronary angiography the next day appeared normal. However, a cardiac PET scan revealed the involvement of small coronary vessels not visible on angiography. The Patient was a 45\u2010year\u2010old man who presented with recurrent chest pain, more prominent during physical activity. He also had mild shortness of breath. The patient was admitted, and the next day, he underwent normal coronary angiography. The cardiac positron emission tomography (PET scan) showed the involvement of small coronary vessels that were not obvious on angiography.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.9475","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T06:20:26Z","timestamp":1729232426000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A recurrent typical angina pectoris without any finding in coronary angiography: Microvascular angina"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8612-0571","authenticated-orcid":false,"given":"Homa","family":"Taheri","sequence":"first","affiliation":[{"name":"Cedars\u2010Sinai Smidt Heart Institute  Los Angeles California 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