PMID- 33585142 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210216 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 13 IP - 1 DP - 2021 Jan 12 TI - An Unusual Case of ST Elevation Myocardial Infarction in Angiographically Non-Obstructed Coronary Arteries. PG - e12657 LID - 10.7759/cureus.12657 [doi] LID - e12657 AB - It is routinely believed that patients with electrocardiographic findings of ST elevation myocardial infarction (STEMI) will have evidence of obstructive coronary artery disease on coronary angiography. Although this is the situation in the majority of STEMI instances, in a small percentage of cases, patients presenting with STEMI are found to have minimal to no coronary artery blockage on subsequent angiography, termed MI with non-obstructive coronary arteries (MINOCA). MINOCA is a heterogenous entity with multiple causes, making a focused diagnostic workup important to select an appropriate treatment, with the goal to prevent a mortality similar to obstructive coronary disease. In this case, we describe a unique presentation of MINOCA, after a patient was diagnosed with STEMI. CI - Copyright (c) 2021, Solsi et al. FAU - Solsi, Anup AU - Solsi A AD - Internal Medicine, Creighton University School of Medicine, St. Joseph's Hospital and Medical Center, Phoenix, USA. FAU - Gandhi, Daisy D AU - Gandhi DD AD - Internal Medicine, International American University College of Medicine, Phoenix, USA. LA - eng PT - Case Reports DEP - 20210112 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC7872888 OTO - NOTNLM OT - coronary artery angiography OT - myocardial infarction with non-obstructive coronary arteries (minoca) OT - st-elevation myocardial infarction (stemi) COIS- The authors have declared that no competing interests exist. EDAT- 2021/02/16 06:00 MHDA- 2021/02/16 06:01 PMCR- 2021/01/12 CRDT- 2021/02/15 06:10 PHST- 2021/02/15 06:10 [entrez] PHST- 2021/02/16 06:00 [pubmed] PHST- 2021/02/16 06:01 [medline] PHST- 2021/01/12 00:00 [pmc-release] AID - 10.7759/cureus.12657 [doi] PST - epublish SO - Cureus. 2021 Jan 12;13(1):e12657. doi: 10.7759/cureus.12657.