Provides in vivo evidence that acute myocardial infarction with normal coronary arteries can be caused by acute coronary thrombosis that resolves after thrombolysis.
Supports transient thrombosis in MINOCA; case report leaves open prevalence and management implications.
Two cases with acute myocardial infarction are presented. Both had thrombotic occlusion of the infarct-related artery. Following successful thrombolysis with streptokinase, coronary angiography was normal. These cases prove that "myocardial infarction with normal coronaries" can be associated with coronary thrombosis in the acute stage.
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Pichard et al. (1983) studied this question.
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