Sakda Sathirareuangchai*, MD
Peerayuht Phuangphung, MD
Nitikorn Poriswanish, MD
Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University
Bangkok Thailand 10700

Corresponding author : Sakda Sathirareuangchai
Received : 2 May 2015; Accepted : 30 June 2015


Myocardial infarction (MI) is a clinico-pathological condition resulted from an irreversible ischemic injury to cardiac myocytes. Myocardial infarction with normal coronary artery on angiogram (MINCA) is a widelyaccepted clinical term used to describe a group of patients presenting with the MI symptoms and signs but having a normal angiogram. Even though MINCA has been clinically established for a long time, to date, there is the only one study describing pathological findings of MI from the autopsy cases without coronary artery
atherosclerosis. This review explores possible up-to-date causes of myocardial infarction without coronary artery atherosclerosis in a pathological aspect.