Key result
A 29-year-old man experienced a recurrent myocardial infarction despite having angiographically normal coronary arteries, challenging the notion that this syndrome always has a benign course.
Case Report (n=1)
This case demonstrates that myocardial infarction with normal coronary arteries (MINOCA) can recur, suggesting the prognosis may not always be benign.
Recurrent events in this index case suggest prognosis may not be uniformly benign; leaves open need for targeted long-term strategies in MINOCA.
The syndrome of acute myocardial infarction with angiographically normal coronary arteries has been more frequently recognized since the availability of coronary angiography. Most of the patients described are young, and the syndrome is said to have a benign course and favorable prognosis.1 The subject of this case study, which was first reported in this Journal as a case of myocardial infarction with normal coronary arteries in 1970,2 has recently experienced a recurrent infarction, and has undergone restudy.Case ReportA 29-year-old man had been seen at the Newton-Wellesley Hospital in August, 1967, at the age of 19 years because of . . .
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Michaelson et al. (1977) conducted a case report in Recurrent myocardial infarction with normal coronary arteriography (n=1). A 29-year-old man experienced a recurrent myocardial infarction despite having angiographically normal coronary arteries, challenging the notion that this syndrome always has a benign course.
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