Myocardial infarction with non-obstructive coronary arteries - ghost hunting in cardiology - case report.

Introduction: myocardial infarction with non-obstructive coronary arteries (MINOCA) is a syndrome with several causes, characterized by clinical evidence of myocardial infarction and without significant coronary disease (stenosis =50%). Aim: to present a patient with verified myocardial infarction with non - obstructive coronary arteries (MINOCA), and complexity of diagnostic and therapeutic modality. Case report: the article presents a 33-year-old male patient admitted due to chest pain with elevated high-sensitive cardiac troponin-T (hs-TnT) and electrocardiographic (ECG) signs of anterior myocardial infarction. Coronary angiography verified normal findings but intracoronary acetylcholine provocation testing confirmed diagnosis of MINOCA. The patient was discharged with calcium channel blockers, trimetazidine and antiaggregant in therapy. Conclusion: MINOCA has complex diagnostic and therapeutic modalities. Individual approach to the patient is an imperative, with the aim of finding an etiological cause, with obligatory review of anamnestic data, physical examination, ECG, elevated enzymes of cardiac necrosis, echocardiography, along with coronary and left ventricular angiography, that can lead to a clearer picture of the onset and prognosis. [ABSTRACT FROM AUTHOR]