MINOCA-induced apical ballooning case report: a diagnostic conundrum.

ABSTRACT:

Background

Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a recently described phenomenon where no flow-limiting lesions are noted on coronary angiography in a patient with electrocardiogram changes, elevated cardiac biomarkers, and symptoms suggesting acute myocardial infarction. Patients with MINOCA can also potentially develop structural cardiac defects through ischaemic injury. Therefore, the absence of a flow-limiting lesion on angiography coupled with structural defects (e.g. apical ballooning) can very easily result in a diagnosis of Takotsubo cardiomyopathy (TTC). This can lead to potentially serious consequences since treatment options between TTC and MINOCA are different.

Case summary

We report a case of a patient presenting with features

SUBMITTER: Dungarwalla M 

PROVIDER: S-EPMC8343441 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature