DOI: https://doi.org/10.36347/sjmcr.2026.v14i02.013

Pages: 229-236

This study aims to investigate the presence and associated factors of Coronary Microvascular Dysfunction [CMD] in young women who presented to the hospital with dyspnea, chest pain, and hypertension, and who were non-diabetic but exhibited insulin resistance. Our findings reveal that insulin resistance is a significant risk factor for CMD in young women, even when their blood sugar levels are normal [normoglycemic]. Notably, the increased epicardial fat thickness observed in these patients suggests that it may play a critical role in the pathophysiology of CMD. These results emphasize the need to consider metabolic parameters for the early diagnosis and treatment of CMD in young and normoglycemic individuals.