Why the study?
MINOCA in the context of acute STEMI presents a challenging clinical situation with no clear guidelines or consensus regarding stenting.
OCT can be a valuable tool in guiding the decision to stent in patients with MINOCA presenting as STEMI by identifying underlying plaque rupture.
Myocardial infarction with nonobstructive coronary arteries (MINOCA) in the context of acute ST elevation myocardial infarction (STEMI) is a challenging situation with no clear guidelines. In the absence of a consensus, optical coherence tomography (OCT) provides a better well-informed decision whether to stent or not. Herein, we report a case of MINOCA that underwent stenting of the proximal left anterior descending artery in the setting of extensive anterior wall STEMI in view of high-risk clinical presentation and OCT features of a ruptured plaque.
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Subbramaniyam et al. (2021) studied this question.
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