ArticleCureus2025
A Stepwise Diagnostic Approach to Transmural Myocardial Infarction With Non-obstructive Coronary Arteries With Microvascular Obstruction Highlighting the Role of Cardiac MRI in Suspected Thrombolysis.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Myocardial infarction with non-obstructive coronary arteries (MINOCA) presents a diagnostic challenge due to its heterogeneous etiologies and the absence of obstructive coronary lesions. We report the case of a 74-year-old male with hypertension, prior deep vein thrombosis, and a history suggestive of thrombophilia under evaluation, on chronic warfarin therapy, who presented with chest pain, ST elevation, and elevated troponins. Coronary angiography revealed no obstructive coronary artery disease. Cardiac magnetic resonance imaging (MRI) demonstrated an acute transmural myocardial infarction with microvascular obstruction in the left anterior descending artery region. Alternative cardiac and extracardiac causes were excluded, and the diagnosis was revised to MINOCA. This case underscores the diagnostic power of cardiac MRI and suggests spontaneous thrombolysis as a plausible mechanism, based on the transmural infarction pattern, presence of microvascular obstruction, and absence of angiographic obstruction.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.