Evidence map›Paper›PMID 40579100›Full record

ArticleJACC. Case reports2025

Multimodality Imaging in a Patient With MINOCA and Anomalous Coronary Artery.

Ignazio Alessio Gueli, Giancarlo Trimarchi, Michele Coceani, Giancarlo Todiere, Carmelo De Gori, Andrea Barison, Umberto Paradossi, Michele Emdin, Alberto Aimo, Alberto Clemente

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ignazio Alessio GueliHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy; Fondazione Toscana G. Monasterio, Pisa, Italy. Electronic address: igueli@ftgm.it.
Giancarlo TrimarchiHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy; Fondazione Toscana G. Monasterio, Pisa, Italy.
Michele CoceaniFondazione Toscana G. Monasterio, Pisa, Italy.
Giancarlo TodiereFondazione Toscana G. Monasterio, Pisa, Italy.
Carmelo De GoriFondazione Toscana G. Monasterio, Pisa, Italy.
Andrea BarisonHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy; Fondazione Toscana G. Monasterio, Pisa, Italy.
Umberto ParadossiFondazione Toscana G. Monasterio, Pisa, Italy.
Michele EmdinHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy; Fondazione Toscana G. Monasterio, Pisa, Italy.
Alberto AimoHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy; Fondazione Toscana G. Monasterio, Pisa, Italy.
Alberto ClementeFondazione Toscana G. Monasterio, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocardial infarction with nonobstructive coronary arteries (MINOCA) is a heterogeneous condition requiring multimodal imaging for accurate diagnosis and management. Identifying the underlying etiology is crucial for guiding treatment. CASE SUMMARY: A 60-year-old man with hypertension and no prior coronary artery disease presented with angina. Single-photon emission computed tomography revealed ischemia in the mid-basal septum, and coronary computed tomography angiography (CCTA) identified an anomalous septal artery with an interarterial course. Three years later, he was admitted with non-ST-segment elevation myocardial infarction. Coronary angiography showed no obstructive lesions, but cardiac magnetic resonance confirmed a recent infarction in the mid-septum. A retrospective review of prior CCTA suggested acute occlusion of the anomalous septal artery. DISCUSSION: This case underscores the role of multimodal imaging in MINOCA, particularly in patients with coronary anomalies. TAKE-HOME MESSAGE: CCTA and cardiac magnetic resonance are complementary in identifying the underlying cause of MINOCA and optimizing patient management.

Indexed as

angiographyanomalous coronary arteriescardiac magnetic resonancecoronary computed tomography angiographymyocardial infarction with nonobstructive coronary arteriessingle photon emission computed tomography

Identifiers

PMID40579100
PMCPMC12273847

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.