Prognostic Value of Cardiac Magnetic Resonance Imaging in Acute Coronary Syndrome Patients With Troponin Elevation and Nonobstructive Coronary Arteries

Author(s):  
Sushil Allen Luis ◽  
Chris R. Luis ◽  
Mohsen Habibian ◽  
Myo T. Lwin ◽  
Tahlia C. Gadowski ◽  
...  
2020 ◽  
Vol 01 ◽  
Author(s):  
Mousa Suhail Abu Ghoush ◽  
Safaa Almohdar ◽  
Thamer Samha

Background: Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) is a syndrome with different causes, characterized by clinical evidence of myocardial infarction with normal or near-normal coronary arteries on angiography. Case presentation: Here we describe an interesting case of a 29 year old male known to have bioprosthetic aortic valve replacement who presented with chest pain suggestive of acute coronary syndrome, with rising troponin levels but having a normal coronary angiography and a cardiac magnetic resonance imaging showing evidence of myocardial infarction thus suggestive of MINOCA. Conclusion: This case illustrates the increasing clinical role of cardiac magnetic resonance imaging in modern cardiology and its ability to detect a final diagnosis in patients with MINOCA and also raise the possibility of recurrent embolic phenomena to the epicardial vessels from bioprosthetic valves , which might be challenging to prove.


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