Myocardial infarction with non-obstructive coronary arteries (MINOCA): Intracoronary imaging-based diagnosis and management

Myocardial infarction with non-obstructive coronary arteries (MINOCA) is defined by clinical evidence of myocardial (MI) normal or near-normal on angiography. This condition present in about 5% to 25% patients presenting acute syndromes. MINOCA a working diagnosis. Current guidelines and consensus recommend identification underlying causes order optimize treatment, improve prognosis, promote prevention recurrent infarction. An accurate evaluation patient history, symptoms use invasive non-invasive imaging should lead epicardial microvascular differentiation from non-ischemic injury due both cardiac (e.g. myocarditis) non-cardiac disease pulmonary embolism).In this review, we highlight the role differential diagnosis MINOCA. Intravascular ultrasound optical coherence tomography are well known technologies used different settings chronic In patients, could help identify pathological alterations vessels that not visible angiography such as plaque disruption, dissection, thromboembolism, spasm, artery takotsubo syndrome. future, widespread these technologies, right context, optimization personalization better prognosis