Myocardial Infarction and Persistent Angina With No Obstructive Coronary Artery Disease

Waddah Malas; Ahmed AlBadri; Janet Wei; Puja K Mehta; R David Anderson; John Petersen; Louise E Thomson; Carl J Pepine; C Noel Bairey Merz

doi:10.1016/j.jaccas.2019.11.049

Myocardial Infarction and Persistent Angina With No Obstructive Coronary Artery Disease

JACC Case Rep. 2020 Jan 15;2(1):9-14. doi: 10.1016/j.jaccas.2019.11.049. eCollection 2020 Jan.

Authors

Waddah Malas¹, Ahmed AlBadri¹, Janet Wei², Puja K Mehta¹, R David Anderson³, John Petersen³, Louise E Thomson², Carl J Pepine³, C Noel Bairey Merz²

Affiliations

¹ Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
² Barbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, California.
³ Division of Cardiovascular Medicine, University of Florida College of Medicine, Gainesville, Florida.

Abstract

Women with myocardial infarction with no obstructive coronary artery disease (MINOCA) are increasingly recognized. Women with MINOCA are at high risk for major adverse cardiovascular events. In this case, we focus on the importance of early identification and management of MINOCA to improve patients' angina and related quality of life. (Level of Difficulty: Beginner.).

Keywords: CAD, coronary artery disease; CMD, coronary microvascular dysfunction; MINOCA; MINOCA, myocardial infarction with no obstructive coronary artery; cMRI, cardiac magnetic resonance imaging; coronary reactivity; endothelial function; persistent angina.

Publication types

Case Reports