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Myocardial Infarction with Angiographically Normal Coronary Arteries

Myocardial Infarction with Angiographically Normal Coronary Arteries JOURNAL OF T H E R OYAL SOCIETY O F M EDICINE Volume 95 August 2002 Myocardial infarction with angiographically normal coronary arteries B Chandrasekaran BSc MRCP ASKurbaan MD MRCP J R Soc Med 2002;95:398–400 Myocardial infarction with ‘normal’ coronary arteries 1.1% with proven MI had no luminal irregularities . (MINCA) typically occurs in the under-50s . Usually there Angiograms, of course, provide only a two-dimensional is no history of angina or previous myocardial infarction silhouette of the lumen, and the extent of disease found (MI), and risk factors for ischaemic heart disease (IHD) post mortem often differs from that diagnosed angio- 2 7 may be absent . Symptoms and electrocardiographic (ECG) graphically . In a patient with ‘normal’ coronary arteries, findings are similar to those of MI with angiographic intravascular ultrasound techniques will often reveal coronary disease, though the infarct sizes tend to be extraluminal disease ; so far, however, there have been smaller . The rate of post-MI complications, such as no large studies with intravascular ultrasound in MINCA. malignant arrhythmias, heart failure and hypotension, is There are compensatory mechanisms which preserve luminal 3,4 lower and the long-term prognosis is more favourable . integrity even when the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the Royal Society of Medicine SAGE

Myocardial Infarction with Angiographically Normal Coronary Arteries

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References (22)

Publisher
SAGE
Copyright
© 2002 The Royal Society of Medicine
ISSN
0141-0768
eISSN
1758-1095
DOI
10.1177/014107680209500805
Publisher site
See Article on Publisher Site

Abstract

JOURNAL OF T H E R OYAL SOCIETY O F M EDICINE Volume 95 August 2002 Myocardial infarction with angiographically normal coronary arteries B Chandrasekaran BSc MRCP ASKurbaan MD MRCP J R Soc Med 2002;95:398–400 Myocardial infarction with ‘normal’ coronary arteries 1.1% with proven MI had no luminal irregularities . (MINCA) typically occurs in the under-50s . Usually there Angiograms, of course, provide only a two-dimensional is no history of angina or previous myocardial infarction silhouette of the lumen, and the extent of disease found (MI), and risk factors for ischaemic heart disease (IHD) post mortem often differs from that diagnosed angio- 2 7 may be absent . Symptoms and electrocardiographic (ECG) graphically . In a patient with ‘normal’ coronary arteries, findings are similar to those of MI with angiographic intravascular ultrasound techniques will often reveal coronary disease, though the infarct sizes tend to be extraluminal disease ; so far, however, there have been smaller . The rate of post-MI complications, such as no large studies with intravascular ultrasound in MINCA. malignant arrhythmias, heart failure and hypotension, is There are compensatory mechanisms which preserve luminal 3,4 lower and the long-term prognosis is more favourable . integrity even when the

Journal

Journal of the Royal Society of Medicine – SAGE

Published: Aug 1, 2002

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