Why the study?
Despite increasing recognition of MINOCA, no studies had investigated the risk of atrial fibrillation and ventricular arrhythmia in these patients.
Do electrocardiographic parameters predict an increased risk of atrial fibrillation and ventricular arrhythmia in MINOCA patients?
Do electrocardiographic parameters predict an increased risk of atrial fibrillation and ventricular arrhythmia in MINOCA patients?
MINOCA patients exhibit ECG changes that suggest a significantly increased risk of ventricular arrhythmia, highlighting the need for specific follow-up and monitoring strategies.
ECG predictors flag ventricular arrhythmia risk in MINOCA without atrial fibrillation signal; extends stratification and supports targeted monitoring trials.
BACKGROUND: The clinical importance and recognition of myocardial infarction with non-obstructive coronary artery disease (MINOCA) is increasing. Nevertheless, no studies are investigating the risk of atrial fibrillation and ventricular arrhythmia in MINOCA patients. This study aimed to determine the risk of arrhythmia with electrocardiographic predictors in MINOCA patients. METHODS: /QT interval were used to determine ventricular arrhythmia risk. RESULTS: < 0.001) ratios were also significantly higher in patients with MINOCA. CONCLUSIONS: In the MINOCA patients, there was no increase in the risk of atrial fibrillation based on ECG predictors. However, it was shown that there could be a significant increase in the risk of ventricular arrhythmia. We believe this study could be helpful for specific recommendations concerning duration of hospitalisation and follow up in MINOCA patients.
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Asıl et al. (2023) studied this question.
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