MINOCA mimic: Type 2 myocardial infarction due to severe aortic stenosis complicated by cardiogenic shock

Momin Islam; Hussam Al Hennawi; Mohamad Bakir; Anwar Khedr; Sachin S Goel

doi:10.21542/gcsp.2023.1

MINOCA mimic: Type 2 myocardial infarction due to severe aortic stenosis complicated by cardiogenic shock

Glob Cardiol Sci Pract. 2023 Jan 30;2023(1):e202301. doi: 10.21542/gcsp.2023.1.

Authors

Momin Islam¹, Hussam Al Hennawi², Mohamad Bakir³, Anwar Khedr⁴, Sachin S Goel¹

Affiliations

¹ Houston Methodist Hospital, Department of Cardiology, USA.
² Department of Internal Medicine, Jefferson Abington Hospital, Abington, PA, USA.
³ Alfaisal University, College of Medicine, Riyadh, Saudi Arabia.
⁴ Mayo Clinic Health System, Mankato, Minnesota, USA.

Abstract

Acute myocardial infarction without significant obstructive coronary disease presents a challenging clinical entity that requires timely intervention. The term myocardial infarction with nonobstructive coronary arteries (MINOCA) describes a working diagnosis attributed to varying etiologies in patients with a presumed ischemic cardiac condition. Several overlapping etiologies can be classified as type 2 myocardial infarction (MI). The 2019 AHA statement established diagnostic criteria and clarified the associated confusion, aiding in appropriate diagnosis. In this report, we present a case of demand-ischemia MINOCA and cardiogenic shock in a patient with severe aortic stenosis (AS).

Publication types

Case Reports