Why the Term MINOCA Does Not Provide Conceptual Clarity for Actionable Decision-Making in Patients with Myocardial Infarction with No Obstructive Coronary Artery Disease
Key result
A comprehensive clinical evaluation and dedicated diagnostic work-up can identify the specific pathophysiologic abnormality in almost all cases initially labeled as MINOCA.
Why the study?
The term MINOCA does not provide conceptual clarity for actionable decision-making, while establishing the underlying cause of MINOCA has notable implications for tailoring secondary prevention measures.
Design
Review
Authors
Discussion
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Member takes
Implication
Thorough evaluation may reclassify most MINOCA cases; leaves open whether this improves outcomes or management.
Structured PICO
P
Population
Patients with myocardial infarction with no obstructive coronary artery disease (MINOCA)
Cardiologists are urged to transition from the all-inclusive term MINOCA to a proper classification of MI based on specific underlying causes to guide actionable decision-making.
Cite This Study
Pelliccia et al. (2021) conducted a review in Myocardial Infarction with No Obstructive Coronary Artery Disease (MINOCA). Comprehensive clinical evaluation and dedicated diagnostic work-up was evaluated. A comprehensive clinical evaluation and dedicated diagnostic work-up can identify the specific pathophysiologic abnormality in almost all cases initially labeled as MINOCA.