Myocardial Infarction with Non-Obstructive Coronary Arteries and Newly Diagnosed Cancer: is there a link? Case Report

Clicks: 10
ID: 327171
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #336 of 408 articles by views in European Heart Journal - Case Reports

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 408 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Although patients can present with classical myocardial infarction symptoms requiring urgent evaluation, a subset exhibits no significant obstructive lesions on coronary angiography, revealing a distinct clinical entity known as myocardial infarction with non-obstructive coronary arteries. This report presents a novel case of a 66-year-old woman with myocardial infarction with non-obstructive coronary arteries and newly diagnosed renal cell carcinoma. We discuss possible pathophysiological mechanisms that may contribute to the coexistence of these conditions, including systemic inflammation, endothelial dysfunction, oxidative stress, hypercoagulability, and coronary vasospasm. Case summary The patient presented with acute chest pain radiating to the left arm, dyspnoea, elevated high-sensitivity troponin I (319 ng/l to 2114 ng/l), and mild ST depressions in V4–V6. Invasive coronary angiography showed no significant changes leading to a diagnosis of myocardial infarction with non-obstructive coronary arteries. A cardiovascular magnetic resonance was performed and detected local hypokinesis in the inferoseptal and inferior left ventricular walls without a scar. Accidentally, a mass in the left kidney was observed. An abdominal ultrasound and subsequent computed tomography confirmed the diagnosis of renal cell carcinoma in the lower pole of the left kidney without distant metastasis. A multidisciplinary discussion led to a successful laparoscopic nephrectomy and remission. Conclusion This clinical case exemplifies the multifaceted nature of clinical presentations and highlights the importance of considering non-cardiac causes in the differential diagnosis of myocardial infarction with non-obstructive coronary arteries. Shared risk factors, diagnostic complexities, and treatment considerations necessitate a multidisciplinary approach involving cardiology, nephrology, and oncology for optimal patient care.
Reference Key
openalex_W7204820765 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Augustė Ryselytė, Rokas Šerpytis, Sigita Glaveckaitė, Pranas Šerpytis
Are you one of these authors? Claim your profile
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag640
URL
https://academic.oup.com/ehjcr/advance-article-pdf/doi/10.1093/ehjcr/ytag640/70877491/ytag640.pdf
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.