skip to main content

MINOCA — RCPSC IM MCQ

Instant feedback + full explanation. One question, done properly.

HardCardiologyMINOCARCPSC IM

A 53-year-old woman has chest pain with anterior T-wave inversion and troponin rise to 780 ng/L. Coronary angiography shows no stenosis over 30 percent. Echocardiography shows apical ballooning, and cardiac MRI shows myocardial edema without late gadolinium enhancement in a coronary distribution. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Treat as stress cardiomyopathy with supportive heart failure care and reassessment

Troponin-positive chest pain with non-obstructive coronaries requires evaluation for MINOCA mimics. Apical ballooning and CMR pattern support stress cardiomyopathy, managed supportively with follow-up imaging.

Reference: Canadian Cardiovascular Society MINOCA clinical practice update