Current Overview of Myocardial Infarction with Non-Obstructive Coronary Arteries

Abstract

Recent advancements in the medical field have significantly improved the diagnosis and treatment of ischemic heart disease. Furthermore, myocardial infarction without coronary artery obstruction, known as myocardial infarction with non-obstructive coronary arteries (MINOCA), has gained recognition. The etiology of MINOCA as a “working diagnosis” can be attributed to coronary, myocardial, and non-cardiac disorders. Understanding the “working diagnosis” of MINOCA, comprehending its underlying conditions, and carrying out appropriate diagnostic methods for each etiology to provide cause-specific treatment is necessary. We present a clinical overview of MINOCA, including its diagnosis, and a detailed review of each underlying condition.