Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2019 Jul 16;8(14):e013361.
doi: 10.1161/JAHA.119.013361. Epub 2019 Jul 9.

Myocardial Infarction With Nonobstructive Coronary Arteries: A Call for Individualized Treatment

Debabrata Mukherjee  1
Affiliations
Editorial

Myocardial Infarction With Nonobstructive Coronary Arteries: A Call for Individualized Treatment

Debabrata Mukherjee. J Am Heart Assoc. .

Abstract

See Article Choo et al.

Keywords: Editorials; acute coronary syndrome; acute myocardial infarction; coronary angiography; coronary artery.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Individualized approach to the management of patients with myocardial infarction (MI) with nonobstructive coronary arteries on the basis of the underlying cause. *Additional investigations that may be considered in addition to routine evaluation for patients with acute MI and nonobstructive (<50%) coronary artery stenosis. ACE indicates angiotensin‐converting enzyme; ARB, angiotensin receptor blocker; CAD, coronary artery disease; CCB, calcium channel blocker; IVUS, intravascular ultrasound; MINOCA, MI in the absence of obstructive coronary artery disease; OCT, optical coherence tomography.
See this image and copyright information in PMC

Comment on

References

    1. Pasupathy S, Tavella R, McRae S, Beltrame JF. Myocardial infarction with non‐obstructive coronary arteries: diagnosis and management. Eur Cardiol. 2015;10:79–82. - PMC - PubMed
    1. Tamis‐Holland JE, Jneid H, Reynolds HR, Agewall S, Brilakis ES, Brown TM, Lerman A, Cushman M, Kumbhani DJ, Arslanian‐Engoren C, Bolger AF, Beltrame JF; American Heart Association Interventional Cardiovascular Care Committee of the Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; Council on Quality of Care and Outcomes Research . Contemporary diagnosis and management of patients with myocardial infarction in the absence of obstructive coronary artery disease: a scientific statement from the American Heart Association. Circulation. 2019;139:e891–e908. - PubMed
    1. Scalone G, Niccoli G, Crea F. Editor's choice: pathophysiology, diagnosis and management of MINOCA: an update. Eur Heart J Acute Cardiovasc Care. 2019;8:54–62. - PubMed
    1. Bairey Merz CN, Pepine CJ, Walsh MN, Fleg JL. Ischemia and no obstructive coronary artery disease (INOCA): developing evidence‐based therapies and research agenda for the next decade. Circulation. 2017;135:1075–1092. - PMC - PubMed
    1. Mauricio R, Srichai MB, Axel L, Hochman JS, Reynolds HR. Stress cardiac MRI in women with myocardial infarction and nonobstructive coronary artery disease. Clin Cardiol. 2016;39:596–602. - PMC - PubMed