TY - JOUR
AU1 - Chandrasekaran, B
AU2 - Kurbaan, A S
AB - 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 
TI - Myocardial Infarction with Angiographically Normal Coronary Arteries
JF - Journal of the Royal Society of Medicine
DO - 10.1177/014107680209500805
DA - 2002-08-01
UR - https://www.deepdyve.com/lp/sage/myocardial-infarction-with-angiographically-normal-coronary-arteries-u6rAMUEK0d
SP - 398
EP - 400
VL - 95
IS - 8
DP - DeepDyve
ER -