Brief Report

Multiple Endotypes and Angina Burden in Patients With Nonobstructive Coronary Arteries

JAMA Cardiology 10.1001/jamacardio.2026.1234

May 27, 2026 at 11:00 AM EDT

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How do combinations of endotypes in angina with nonobstructive coronary arteries (ANOCA) affect patient symptoms?In this cross-sectional study of 485 patients undergoing comprehensive coronary function testing, overlapping ANOCA endotypes were common and patients with multiple endotypes had worse overall angina burden.These findings indicate that different ANOCA endotypes frequently coexist and are associated with worse symptoms.

Corresponding Author: Jennifer A. Tremmel, MD, MS, Stanford University School of Medicine, 300 Pasteur Dr, Room H2103, Stanford, CA 94305 (jtremmel@stanford.edu).

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