Part 2: MINOCA – Hidden Heart Attacks in Normal Arteries | Dr. Gopi Krishna

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Published Jul 8, 2025

In this final session, Dr. Gopi Krishna, Sr. Interventional Cardiologist, Yashoda Hospitals, Hitec City, Hyderabad, explains how to systematically approach, investigate, and manage MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries). He covers advanced diagnostics like OCT, IVUS, CMR, LV angiogram, and acetylcholine challenge to uncover hidden pathology such as plaque rupture, vasospasm, microvascular dysfunction, or embolism.

Importantly, he stresses the need for cause-specific treatment—ranging from DAPT to anticoagulants and vasodilators. He also introduces INOCA (Ischemia with Non-Obstructive Coronary Arteries), highlighting its impact on quality of life, especially in women.

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