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http://dx.doi.org/10.1016/j.cjco.2025.03.021 | DOI Listing |
Cureus
August 2025
Department of Internal Medicine, Babcock University Teaching Hospital, Ilishan-Remo, NGA.
Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a group of heterogeneous diseases with different pathological mechanisms. It is often under-recognized because of its diverse differential diagnoses like myocarditis, takotsubo cardiomyopathy, spontaneous coronary artery dissection (SCAD), coronary microvascular dysfunction, vasospasm, coronary erosion, and embolism. Evaluation with multimodality imaging including intravascular coronary imaging and cardiac magnetic resonance is often necessary to determine the underlying etiology and management.
View Article and Find Full Text PDFInt J Cardiol
September 2025
Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Cardiology Department, Elmhurst Hospital Center, Elmhurst, NY, United States of America. Electronic address:
BMJ Case Rep
September 2025
Interventional Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA.
We describe a case of a woman in her 70s who presented with acute chest pain and ST-segment elevation on ECG. Multimodality cardiac imaging confirmed Takotsubo cardiomyopathy alongside a pedunculated left ventricular mass, presumed to be a thrombus, with suspected embolisation to the left anterior descending artery, triggering an acute myocardial infarction. She received guideline-directed medical therapy for heart failure and anticoagulation for the thrombus.
View Article and Find Full Text PDFEur Heart J Case Rep
September 2025
Department of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A. Gemelli 1, Rome 00168, Italy.
Background: Chest pain is a common reason for emergency department (ED) visits, yet not all cases are attributable to coronary artery disease (CAD). The 2024 European Society of Cardiology (ESC) guidelines emphasize the importance of invasive coronary function testing in patients with angina and non-obstructive coronary arteries. Understanding alternative causes of chest pain is crucial for appropriate diagnosis and management.
View Article and Find Full Text PDFClin Auton Res
September 2025
Department of Neurology, Central Hospital of Dalian University of Technology, Dalian, China.