Key result
A 59-year-old male treated for an inferior STEMI subsequently developed a lateral STEMI with repeat angiography revealing non-obstructive coronary arteries, highlighting a unique presentation of MINOCA.
Why the study?
A small percentage of patients presenting with STEMI have minimal to no coronary artery blockage on angiography, termed MINOCA, which requires focused diagnostic workup to guide treatment and prevent mortality.
Case Report (n=1)
No
Highlights that STEMI presentations can occasionally be caused by MINOCA, requiring a focused diagnostic workup to determine the underlying etiology.
It is routinely believed that patients with electrocardiographic findings of ST elevation myocardial infarction (STEMI) will have evidence of obstructive coronary artery disease on coronary angiography. Although this is the situation in the majority of STEMI instances, in a small percentage of cases, patients presenting with STEMI are found to have minimal to no coronary artery blockage on subsequent angiography, termed MI with non-obstructive coronary arteries (MINOCA). MINOCA is a heterogenous entity with multiple causes, making a focused diagnostic workup important to select an appropriate treatment, with the goal to prevent a mortality similar to obstructive coronary disease. In this case, we describe a unique presentation of MINOCA, after a patient was diagnosed with STEMI.
No takes yet. Share an insight, caveat, or question.
Solsi et al. (2021) conducted a case report in ST Elevation Myocardial Infarction (STEMI) / MINOCA (n=1). Coronary angiography was evaluated. A 59-year-old male treated for an inferior STEMI subsequently developed a lateral STEMI with repeat angiography revealing non-obstructive coronary arteries, highlighting a unique presentation of MINOCA.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: