Review
The team reviews symptoms, risk factors, medications, prior test reports, and original imaging when it is available and relevant.
PICC signature program
Coronary Microvascular Disease & INOCA Center
A focused pathway for persistent chest pain and cardiac symptoms when major coronary arteries appear normal or non-obstructed.
Who this program helps
Start with the problem—not the procedure.
People whose chest pain or cardiac symptoms continue despite a normal or non-obstructive angiogram.
- Persistent chest pain
- Shortness of breath or exercise intolerance
- Symptoms after a normal angiogram
How PICC evaluates
Clarity before the next step.
The care team reviews symptoms, prior testing, coronary anatomy, and whether coronary function testing may help explain the problem.
Treatment approach
Care is tailored to the suspected mechanism and may include risk-factor care, medication, and longitudinal symptom follow-up.
Technology with purpose
Tools selected to answer a clinical question.
More technology does not automatically mean more procedures. The purpose is to add useful information to the clinical decision.
- Coronary function testing
- CFR
- IMR
What to expect
A focused visit built around the decision in front of you.
Clarify
Testing is considered only when it can answer a meaningful clinical question or change the care plan.
Plan
The next step may be prevention, medical therapy, further evaluation, intervention, surveillance, or coordination with another specialist.
Patient questions
What patients often ask.
Is this program the right place to start?+
People whose chest pain or cardiac symptoms continue despite a normal or non-obstructive angiogram.
What should I bring to a first visit?+
Bring an up-to-date medication list and any relevant records, imaging, or test reports available to you. The office can clarify what is most useful when you schedule.
Will I need every test listed on this page?+
No. Technology is selected to answer a clinical question. Your clinician determines which tests, if any, fit your individual situation.
Can I request a second opinion?+
Yes. PICC evaluates patients seeking another perspective on symptoms, prior testing, or a proposed cardiovascular treatment.
Where are visits available?+
PICC sees patients in Glen Ridge/Montclair, Clifton, and Paramus. Call the central office to confirm the appropriate provider and location.
Where can I read reliable background information?+
The authoritative resources below link to national cardiovascular organizations and federal medical-device information. They are starting points, not individual medical advice.
Authoritative references
Reliable places to continue learning.
These national resources support general patient education. PICC does not use them as a substitute for individual evaluation.
Medically reviewed by
Ankitkumar Patel, MD, MPH, FACC, FSCAI, RPVI
Last reviewed
August 22, 2026
Educational information only. It does not replace personal medical advice.
Prevention to intervention—and back again