Myocardial infarction with non-obstructive coronary arteries (MINOCA): approaches to diagnosis and treatment

Case of Myocardial Infarction with Nonobstructive Coronary Arteries Caused by Thebesian Veins Thrombosis

“…The consequences of this new conception consider large changes in future protocols of evaluation and management of patients with acute ischemic myocardial pain (2). Currently, in most clinical cases of patients with typical symptoms of myocardial infarction but no atherosclerotic obstruction, cardiologists often face skepticism, and the diagnosis is frequently denied (3). Despite the numerous reviews from Ukrainian and European societies, that specialize in the evaluation and management of patients with acute coronary syndromes, a lot of clinicians still deny the possibility of myocardial infarction in cases with non-obstructive coronary arteries.…”