The AACVPR Learning Center is your go-to resource for
learning and advancing your knowledge
in cardiovascular and pulmonary rehabilitation.

Nonobstructive Mischief: When Angina Isn't Obstructive Coronary Disease

Presented by Debbie Lin Teodorescu MD, MEng, AM, FACC

1.00 AACVPR CEUs, 1.00 ANCC CEUs

Description: Patients with chest pain, ischemia, or even myocardial infarction do not always have obstructive coronary artery disease. MINOCA (myocardial infarction with nonobstructive coronary arteries) and INOCA (ischemia with nonobstructive coronary arteries) are increasingly recognized as important contributors to cardiovascular morbidity, recurrent symptoms, and diminished quality of life. This webinar, recorded in October 2026, will provide an overview of the spectrum of coronary dysfunction, including coronary microvascular dysfunction and vasospastic disease. Attendees will review contemporary concepts in pathophysiology, diagnosis, prognosis, and treatment, while exploring practical implications for cardiac rehabilitation professionals. Through clinical cases and evidence-based discussion, participants will gain tools to better recognize, support, and educate patients living with these often-misunderstood conditions.

Learning Objectives:  

1. Differentiate MINOCA, INOCA, coronary microvascular dysfunction, and vasospastic angina from traditional obstructive coronary artery disease.
2. Recognize clinical features associated with higher-risk presentations of coronary dysfunction syndromes that warrant further evaluation or escalation of care.
3. Incorporate disease-specific considerations into exercise training, symptom assessment, and patient education for individuals with MINOCA, INOCA, and related coronary dysfunction disorders.

Education Committee Chair:  Rachel Jarvis, MA, ACSM-RCEP, CES - Nothing to disclose.
Speaker(s): Debbie Lin Teodorescu MD, MEng, AM, FACC - Nothing to disclose.

Viewing window: 60 days from date of purchase

Key:

Complete
Failed
Available
Locked
Nonobstructive Mischief: When Angina Isn't Obstructive Coronary Disease
Open to view video.  |  51 minutes
Open to view video.  |  51 minutes
Handouts
Open to download resource.
Open to download resource.
Survey
12 Questions
Quiz
5 Questions  |  Unlimited attempts  |  5/5 points to pass
5 Questions  |  Unlimited attempts  |  5/5 points to pass
AACVPR Certificate
1.00 AACVPR credit  |  Certificate available
1.00 AACVPR credit  |  Certificate available
ANCC Certificate
1.00 ANCC credit  |  Certificate available
1.00 ANCC credit  |  Certificate available