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KEY Point: Prediction of the "culprit" artery is more than just an academic exercise: I believe trying to predict the culprit artery improves our ability at ECG interpretation — because it forces us to correlate ECG findings in all 12 leads with the clinical situation.
MINOCA now encompasses Spontaneous Coronary Artery Dissection (SCAD), a rare condition that is known to manifest primarily in women and affects the epicardial coronary artery. Despite padding the MINOCA numbers with SCAD, MINOCA is much rarer than conventional epicardial coronary disease. Which is exactly what the numbers show.
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