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Year : 2021  |  Volume : 22  |  Issue : 4  |  Page : 293-296

Myocardial infarction with non-obstructive coronary arteries: To stent or not to stent? That is the question

Mohammed Bin Khalifa Specialist Cardiac Centre (MKCC), Awali, Kingdom of Bahrain

Correspondence Address:
Dr. Seham Abdulrahman
Mohammed Bin Khalifa Specialist Cardiac Centre (MKCC), Awali
Kingdom of Bahrain
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Source of Support: None, Conflict of Interest: None


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Myocardial infarction with nonobstructive coronary arteries (MINOCA) in the context of acute ST elevation myocardial infarction (STEMI) is a challenging situation with no clear guidelines. In the absence of a consensus, optical coherence tomography (OCT) provides a better well-informed decision whether to stent or not. Herein, we report a case of MINOCA that underwent stenting of the proximal left anterior descending artery in the setting of extensive anterior wall STEMI in view of high-risk clinical presentation and OCT features of a ruptured plaque.

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