Myocardial infarction without coronary artery atherosclerosis: pathological aspect
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Sakda Sathirareuangchai*, MD Peerayuht Phuangphung, MD Nitikorn Poriswanish, MD Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University
Bangkok Thailand 10700 Corresponding author : Sakda Sathirareuangchai e-mail: firstname.lastname@example.org Received : 2 May 2015; Accepted : 30 June 2015
Myocardial infarction (MI) is a clinico-pathological condition resulted from an irreversible ischemic injury to cardiac myocytes. Myocardial infarction with normal coronary artery on angiogram (MINCA) is a widelyaccepted clinical term used to describe a group of patients presenting with the MI symptoms and signs but having a normal angiogram. Even though MINCA has been clinically established for a long time, to date, there is the only one study describing pathological findings of MI from the autopsy cases without coronary artery
atherosclerosis. This review explores possible up-to-date causes of myocardial infarction without coronary artery atherosclerosis in a pathological aspect.