Key result
Cardiac MRI confirms MINOCA after non-obstructive angiography in a 53-year-old female with acute MI.
Why the study?
A subset of patients with myocardial infarction does not present with coronary occlusion or traditional clinical risk factors.
Case Report (n=1)
Highlights the clinical presentation of MINOCA in a patient lacking traditional obstructive coronary atherosclerosis.
MINOCA warrants consideration in AMI with non-obstructive coronaries; this case extends phenotypic descriptions but leaves management questions open.
Myocardial infarction (MI) is usually discussed in light of some occlusion to the coronary circulation. It usually occurs in the setting of well-established risk factors such as hypertension, obesity, coronary atherosclerosis, smoking, and male gender. However, a subset of this population does not follow the clinical presentation seen in traditional MI. We present a case of acute MI in a middle-aged female with non-obstructive coronary arteries on coronary angiography.
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Evbayekha et al. (2022) conducted a case report in Myocardial Infarction With Non-obstructive Coronary Arteries (MINOCA) (n=1). Myocardial Infarction With Non-obstructive Coronary Arteries (MINOCA) was evaluated. A 53-year-old female presenting with acute myocardial infarction was diagnosed with MINOCA after coronary angiography revealed no obstructive disease and cardiac MRI confirmed acute myocardial infarction.
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