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DC Field | Value | Language |
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dc.contributor.author | Reynaldo, Giovanni | - |
dc.contributor.author | Hamonangan, Rachmat | - |
dc.contributor.author | Monica, Princella | - |
dc.date.accessioned | 2024-12-16T03:12:44Z | - |
dc.date.available | 2024-12-16T03:12:44Z | - |
dc.date.issued | 2023-10-01 | - |
dc.identifier.issn | 2338-2732 | - |
dc.identifier.uri | http://localhost:8080/xmlui/handle/123456789/9095 | - |
dc.description.abstract | ABSTRACT Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a unique disorder that manifests as an acute myocardial infarction clinically without overt coronary arteries obstruction on angiography. Herein, we report a 17-year-old male presented with a chest pain occurring 3 hours before admission and fever lasting for 2 days. Electrocardiogram examination showed ST elevation in lead II, III, aVF and V3-V6. Laboratory tests results showed a normal leukocyte level of 9850/µL, an elevated troponin of 3.55 ng/mL and an elevated quantitative CRP of 46 mg/L. Coronary angiography performed, indicating 20-30% stenosis of the left anterior descending artery, left circumflex artery and right coronary artery, whereas in typical acute myocardial injury, angiography shows >50% coronary stenosis. Additional cardiac MRI examination showed a fulfillment of Lake Louis Criteria for myocarditis, with further findings of acute myocardial edema in the lateral wall of left ventricle, with left ventricle ejection fraction of 59.73%. As researchers are still working on the definition of MINOCA, present knowledge of the causes, pathophysiology, clinical features, or specific phenotypes of MINOCA is also limited. A stepwise diagnostic approach is needed to diagnose MINOCA, with subsequent differential diagnosis exclusion. Keywords : MINOCA, Myocarditis, Myocardial infarction, Angiography, Chest Pain, Electrocardiogra. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Perhimpunan Dokter Spesialis Penyakit dalam Indonesia | en_US |
dc.subject | MINOCA, | en_US |
dc.subject | Myocarditis, | en_US |
dc.subject | Myocardial infarction, | en_US |
dc.subject | Angiography, | en_US |
dc.subject | Chest Pain, | en_US |
dc.subject | Electrocardiogra. | en_US |
dc.title | Myocarditis Presenting as Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) in a Young Man: A Case Report | en_US |
dc.type | Article | en_US |
Appears in Collections: | VOL 55 NO 4 2023 |
Files in This Item:
File | Description | Size | Format | |
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455-459.pdf | 1.66 MB | Adobe PDF | View/Open |
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