Highlights the clinical phenomenon of acute transmural myocardial infarction occurring in young patients without angiographically demonstrable coronary artery disease (MINOCA).
MINOCA merits clinical consideration in young MI patients; case reports leave open mechanistic studies and management strategies.
A young man had a well-substantiated case of acute transmural myocardial infarction with no apparent origin and normal selective cine coronary ateriograms eight weeks later. Similar cases have occurred. (JAMA229:811-813, 1974)
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D. C. Smith (1974) studied this question.
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