Open AccessMyocardial infarction with non-obstructive coronary arteries: To stent or not to stent? That is the question
Author(s) -
Seham Abdulrahman,
Suddharsan Subbramaniyam,
Devashish Sheel,
Nooraldaem Yousif,
HusamA Noor,
Sadananda Shivappa
Publication year - 2021
Publication title -
heart views
Language(s) - English
Resource type - Journals
eISSN - 0976-5123
pISSN - 1995-705X
DOI - 10.4103/heartviews.heartviews_28_21
Subject(s) - medicine , myocardial infarction , stent , cardiology , optical coherence tomography , coronary arteries , context (archaeology) , radiology , acute coronary syndrome , artery , paleontology , biology
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.