Key result
CMR identifies acute transmural MI with microvascular obstruction despite non-obstructive coronaries, suggesting spontaneous thrombolysis.
Why the study?
MINOCA presents a diagnostic challenge due to its heterogeneous etiologies and the absence of obstructive coronary lesions.
Population
One 74-year-old male with hypertension, prior deep vein thrombosis, and suspected thrombophilia presenting with MINOCA
Design
Case report
Authors
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MRI may refine MINOCA etiology assessment; case report leaves open generalizability of spontaneous thrombolysis.
Case Report (n=1)
No
Cardiac MRI is a crucial diagnostic tool for identifying ischemic etiology and microvascular obstruction in patients presenting with MINOCA, guiding appropriate secondary prevention therapies.
Thurmann et al. (2025) conducted a case report in Myocardial infarction with non-obstructive coronary arteries (MINOCA) (n=1). Cardiac MRI was evaluated. Cardiac MRI identified an acute transmural myocardial infarction with microvascular obstruction in a patient with non-obstructive coronary arteries, suggesting spontaneous thrombolysis.
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