MINOCA mimic: Type 2 myocardial infarction due to severe aortic stenosis complicated by cardiogenic shock

Authors

  • Momin Islam Houston Methodist Hospital, Department of Cardiology; USA
  • Hussam Al Hennawi Department of Internal Medicine, Jefferson Abington Hospital, Abington, PA, USA
  • Mohamad Bakir Alfaisal University, College of Medicine; Riyadh, Saudi Arabia
  • Anwar Khedr Mayo Clinic Health System, Mankato, Minnesota; USA
  • Sachin S Goel Houston Methodist Hospital, Department of Cardiology; USA

DOI:

https://doi.org/10.21542/gcsp.2023.1

Abstract

Acute myocardial infarction without significant obstructive coronary disease presents a challenging clinical entity that requires timely intervention. The term myocardial infarction with nonobstructive coronary arteries (MINOCA) describes a working diagnosis attributed to varying etiologies in patients with a presumed ischemic cardiac condition. Several overlapping etiologies can be classified as type 2 myocardial infarction (MI). The 2019 AHA statement established diagnostic criteria and clarified the associated confusion, aiding in appropriate diagnosis. In this report, we present a case of demand-ischemia MINOCA and cardiogenic shock in a patient with severe aortic stenosis (AS).

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Published

2023-02-06

Issue

Vol. 2023 No. 1 (2023)

Section

Images in cardiology

License

Copyright (c) 2023 Momin Islam, Hussam Al Hennawi, Mohamad Bakir, Anwar Khedr, Sachin S Goel

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.