Key result
The combination of multi-vessel coronary OCT and CMR identified a cause of the clinical presentation in 79% of MINOCA patients (59% ischemic, 20% non-ischemic mimic), with no sex differences.
Why the study?
Does multi-modality imaging (OCT and CMR) identify the underlying causes of MINOCA in women and men?
Observational (n=754)
Blinded core laboratory
Yes
Does multi-modality imaging (OCT and CMR) identify the underlying causes of MINOCA in women and men?
The combination of multi-vessel coronary OCT and CMR identified an underlying cause in 79% of patients with MINOCA, with no significant sex differences in imaging results.
No takes yet. Share an insight, caveat, or question.
Supports multi-modality imaging to identify MINOCA causes across sexes; leaves open impact on management and outcomes pending RCTs.
Reynolds et al. (2026) conducted an observational in Myocardial infarction with non-obstructive coronary arteries (MINOCA) (n=754). Multi-vessel coronary optical coherence tomography (OCT) and cardiac magnetic resonance imaging (CMR) was evaluated on Identification of a cause of the clinical presentation using both OCT and CMR. The combination of multi-vessel coronary OCT and CMR identified a cause of the clinical presentation in 79% of MINOCA patients (59% ischemic, 20% non-ischemic mimic), with no sex differences.
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