ACS like presentation with normal coronaries: Are they all MINOCA? Utility of cardiac MRI

Abstract

Normal or unobstructed coronaries in the setting of chest pain and troponin positivity is not uncommon. A definite diagnosis may prove elusive and long term management of such patients poses a difficult question. Cardiac Magnetic resonance (CMR) imaging may prove to be useful in such a situation by not only providing a definite diagnosis but also by excluding other possible etiologies.

Keywords

• MINOCA (myocardial infarction with nonobstructive coronary arteries)
• myocarditis
• cardiac magnetic resonance imaging