Summary
Myocardial infarction with non-obstructive coronary arteries (MINOCA) defines a heterogeneous group of atherosclerotic and non-atherosclerotic situations, inflicting myocardial harm within the absence of obstructive coronary artery illness. Unveiling the mechanisms subtended to the acute occasion is usually difficult; a multimodality imaging method is useful to help the prognosis. Invasive coronary imaging with intravascular ultrasound or optical coherence tomography must be used, when accessible, throughout index angiography to detect plaque disruption or spontaneous coronary artery dissection. Cardiovascular magnetic resonance has as a substitute a key position among the many non-invasive modalities, permitting the differentiation between MINOCA and its non-ischaemic mimics and offering prognostic info. This instructional paper will present a complete assessment of the strengths and limitations of every imaging modality within the analysis of sufferers with a working prognosis of MINOCA.
myocardial infarctioncardiac imaging techniquesMagnetic Resonance Imagingcoronary angiography