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Peer-Reviewed Publication
Insights Imaging2026;17(1)May 29, 2026Journal Article

Prognosis and risk stratification in first-presentation myocardial infarction with nonobstructive coronary arteries using stress cardiac MRI.

Leting Tang1, Qian Long1, Wenjin Zhao1, Kang Li1, Lin Tian2, Hu Guo3, Haiyang Li1, Mu Zeng4,5
1Department of Radiology, The Second Xiangya Hospital, Central South University, Changsha, China.
2Circle Cardiovascular Imaging Inc., Changsha, China.
3MR Application, Siemens Healthineers Ltd., Changsha, China.
4Department of Radiology, The Second Xiangya Hospital, Central South University, Changsha, China. zengmu@csu.edu.cn.
5Clinical Research Center for Medical Imaging in Hunan Province, Changsha, China. zengmu@csu.edu.cn.

Abstract

OBJECTIVES: To evaluate the prognostic value of stress cardiac MRI in myocardial infarction with nonobstructive coronary arteries (MINOCA), and to investigate its efficacy in risk stratification. MATERIALS AND METHODS: A total of 279 MINOCA patients undergoing stress cardiac MRI were retrospectively enrolled. Patients were classified into 4 subgroups according to the cardiac MRI phenotype: (1) pr…

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