The Role of Imaging for MINOCA (Myocardial Infarction with No Obstructive Coronary Artery Disease): a Review of Literature and Current Perspectives

Abstract

Purpose of Review: The objective of this review is to summarize scientific statements on the diagnosis and management of myocardial infarction with no obstructive coronary artery disease (MINOCA); define the diagnostic role of optical coherence tomography (OCT), intravascular ultrasound (IVUS), and cardiac magnetic resonance imaging (CMR); and provide representative case examples. Recent Findings: The majority of patients with MINOCA are evaluated by conventional coronary angiography. However, intracoronary imaging using OCT or IVUS permits more accurate understanding of the underlying pathology. These and other imaging modalities provide significant diagnostic and prognostic value. Summary: Although nonobstructive disease is the hallmark of the disease, MINOCA is associated with significant morbidity and mortality. Every effort to define the underlying pathology is necessary and requires more standardized use of imaging in clinical practice.