Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Mar 1:163:D2975.

[Chest pain after angiography without anomalies]

[Article in Dutch]
Tim Schutte  1   2 , Shanti Ramawadhdoebe  3 , Jeroen Schotten  3
Affiliations
  • PMID: 30875164
Case Reports

[Chest pain after angiography without anomalies]

[Article in Dutch]
Tim Schutte et al. Ned Tijdschr Geneeskd. .

Abstract

Background: Myocardial infarction can be categorized based on ECG-findings (presence or absence of ST-elevations on STEMI/NSTEMI) or on the results from coronary angiography (CAG) (presence or absence of obstructive atherosclerosis). Myocardial infarction without significant obstruction on CAG (Myocardial Infarction with Non-Obstructive Coronary Arteries/Atherosclerosis; MINOCA) occurs in up to a quarter of patients with myocardial infarcts. These patients have a higher risk of future heart diseases; up to a quarter of MINOCA patients suffer from heart diseases during a median follow-up of four years.

Case description: We describe a 55-year old woman, who suffered from two myocardial infarctions in one week. The first time, no ST-elevation was detected with ECG and CAG was without abnormalities (MINOCA). Five days later, she experienced the same symptoms; ECG showed ST-elevations and CAG revealed a coronary dissection.

Conclusion: Patients with a myocardial infarction without coronary obstruction (MINOCA) have a higher risk of future heart diseases. In this case, a coronary dissection.

PubMed Disclaimer

Publication types