Myocardial Infarction With Non-obstructive Coronary Arteries - Diagnosis and Management
- PMID: 30310430
- PMCID: PMC6159468
- DOI: 10.15420/ecr.2015.10.2.79
Myocardial Infarction With Non-obstructive Coronary Arteries - Diagnosis and Management
Abstract
MI with non-obstructive coronary arteries (MINOCA) is an enigma that is being increasingly recognised with the frequent use of angiography following acute MI. To diagnose this condition, it is important to determine the multiple potential underlying mechanisms that may be responsible, many of which require different treatments. This review evaluates the contemporary diagnosis and management of MINOCA.
Keywords: Cardiac magnetic resonance imaging; MINOCA; coagulation; coronary angiography; coronary artery disease; diagnosis; myocardial infarction.
Conflict of interest statement
Disclosure: The authors have no conflicts of interest to disclose.
References
-
- DeWood MA, Spores J, Notske R et al. Prevalence of total coronary occlusion during the early hours of transmural myocardial infarction. N Engl J Med. 1980;303:897–902. - PubMed
-
- DeWood MA, Stifter WF, Simpson CS et al. Coronary arteriographic findings soon after non-q-wave myocardial infarction. N Engl J Med. 1986;315:417–23. - PubMed
-
- Hochman JS, Tamis JE, Thompson TD et al. Sex, clinical presentation, and outcome in patients with acute coronary syndromes. Global use of strategies to open occluded coronary arteries in acute coronary syndromes iib investigators. N Engl J Med. 1999;341:226–32. - PubMed
-
- Pasupathy S, Air T, Dreyer RP et al. Systematic review of patients presenting with suspected myocardial infarction and nonobstructive coronary arteries. Circulation. 2015;131:861–70. - PubMed
-
- Thygesen K, Alpert JS, Jaffe AS et al. Third universal definition of myocardial infarction. J Am Coll Cardiol. 2012;60:1581–98. - PubMed
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