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NSTE-ACS: non-ST-segment elevation acute coronary syndrome Non-plaque-induced events as a mechanism of MI with non-obstructive coronary arteries The underlying mechanism of MINOCA, however, besides plaque-induced events (plaque rupture, erosion, or calcified nodule), can include non-plaque-induced events such as epicardial vasospasm, coronary microvascular dysfunction (CMD), or spontaneous coronary artery dissection (SCAD) (Figure 6)
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