The clue of ST-elevation myocardial infarction by means of integrated non-invasive imaging

We describe the case of a 24-year-old man who presented at our emergency department with ST-elevation myocardial infarction (STEMI). The patient showed no coronary artery disease on conventional coronary angiography (CAG). Computed tomography coronary angiography (CTCA) and cardiac magnetic resonance (MR) performed thereafter allowed the highly probable diagnosis of the culprit lesion (i.e. vulnerable plaque) and of the infarcted area. We demonstrated the impact of integrated non-invasive imaging in defining the diagnosis of STEMI with normal coronary arteries on CAG.