Case 263 - MINOCA

MINOCA needs to be understood well by radiologists and cardiologists, so that CMR, which is the cornerstone is performed at the earliest, rather than later.

Case 263 - MINOCA

42-year-old had an acute cardiac event 7 days prior to the MRI with rising troponin over 48 hours, T-wave inversions and normal CT coronary angiogram.

Moderate hypokinesia junction of mid and apical inferior wall
Raised T1 - 1404 - ECV 39%, Raised T2 - 60 ms, STIR bright foci, patchy mid-myocardial LGE

She was diagnosed to have MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries) clinically.

The video describes the case, and specifically three recent papers that have changed the way we approach patients with MINOCA, ending with another case.


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