Myocardial Infarction with Non-Obstructive Coronary Arteries: To Stent or Not to Stent? That is the Question.

Authors :: Subbramaniyam S
Sheel D
Yousif N
Noor HA
Shivappa S
Abdulrahman S
Source :: Heart views : the official journal of the Gulf Heart Association [Heart Views] 2021 Oct-Dec; Vol. 22 (4), pp. 293-296. Date of Electronic Publication: 2022 Feb 11.
Publication Year :: 2021
Abstract: Myocardial infarction with nonobstructive coronary arteries (MINOCA) in the context of acute ST elevation myocardial infarction (STEMI) is a challenging situation with no clear guidelines. In the absence of a consensus, optical coherence tomography (OCT) provides a better well-informed decision whether to stent or not. Herein, we report a case of MINOCA that underwent stenting of the proximal left anterior descending artery in the setting of extensive anterior wall STEMI in view of high-risk clinical presentation and OCT features of a ruptured plaque.<br />Competing Interests: There are no conflicts of interest.<br /> (Copyright: © 2022 Heart Views.)

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