[A case of effort-related myocardial infarction with non-obstructive coronary arteries complicated by atrial fibrillation and cerebral infarction].

The authors report one patient with effort-related myocardial infarction with non-obstructive coronary arteries (MINOCA) whose coronary angiography showed no obvious stenosis.

• The report is a single-patient case (n=1).
• Coronary angiography showed no obvious narrowing, consistent with a non-obstructive presentation.
• The infarction was attributed to exertional (effort-related) stress.

The same patient developed atrial fibrillation and a cerebellar infarction in addition to the myocardial infarction.

• The abstract describes the case as complicated by atrial fibrillation and cerebellar (small-brain) infarction.
• This illustrates multiple vascular events occurring in one patient after exertional stress.
• The abstract gives no patient age, sex, timeline, treatment details, or outcome.

Exertional stress is described as a common trigger of coronary artery spasm, which can lead to MINOCA.

• The abstract presents this as background: spasm triggered by exertion can cause myocardial infarction without obstructive coronary disease.
• No quantitative data are provided to support this statement in the abstract.

Exertional-stress-induced MINOCA can be followed by secondary atrial fibrillation and acute cerebral infarction, and diagnosing and treating such cases is challenging.

• The abstract describes these as 'multiple vascular events' that can follow exertional MINOCA.
• The authors state that clinical diagnosis and management are challenging.
• The case is offered as a reference for clinical recognition and management of this condition.