The Curious Case of MINOCA: Heart Attacks Without Blockages Heart attacks have long been associated with blocked arteries and traditional risk factors like high cholesterol or obesity. However, a growing number of cases presents a unique challenge to conventional ideology— Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) . Unlike typical heart attacks, these cases occur without significant arterial blockage and often affect younger, seemingly healthy individuals. This evolving area of cardiology has significant implications for healthcare practitioners and patients alike. What is MINOCA? MINOCA is a term used to describe a heart attack in the absence of obstructive coronary artery disease, typically defined as less than 50% narrowing of the coronary arteries on angiography. It accounts for approximately 5% to 15% of all myocardial infarctions globally. MINOCA is not a disease but rather an umbrella term encompassing multiple underlying mechanisms that lead to i...
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