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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.

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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