Why the study?
Despite standard definitions of acute myocardial infarction, cases of myocardial infarction without coronary artery obstruction can present diagnostic doubts and unclear etiology.
This case report highlights the diagnostic challenge of myocardial infarction without coronary artery obstruction (MINCA) in young patients where the etiology may remain unclear despite detailed examination.
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MINOCA case in young adult underscores need for thorough workup; leaves open optimal diagnostic algorithms and therapies.
Myocardial infarction without coronary artery obstruction, according to Russian authors, occurs from 4.1 to 10.3% of cases of all myocardial infarctions. Despite a fairly complete description of the term "acute myocardial infarction", there are often situations when the diagnosis may cause doubts and the cause of the condition cannot be found out. The article demonstrates a clinical case of a 26-year-old young man whose genesis of myocardial infarction after a detailed examination turned out to be unclear.
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Grishin et al. (2022) studied this question.
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