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OCT and MRI Find an MI Cause in 85% of Women With MINOCA: HARP – TCTMD

The findings support a role for OCT on top of CMR, already urged by guidelines. How outcomes might change remains unclear.

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Multimodal imaging in women presenting with myocardial infarction with nonobstructive coronary arteries (MINOCA) on angiography identified a mechanism of injury in nearly 85% of women participating in the HARP study. That number is a striking figure for a condition that disproportionately affects women and, for decades, saw them being sent home from hospital emergency rooms with false-positives and no concrete diagnosis.
A number of recent guidelines already recommend additional imaging when MINOCA…

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