Key result
MINOCA is a heterogeneous condition with a prevalence of 5-15% among patients with acute myocardial infarction, requiring a systematic diagnostic approach to determine the underlying etiology.
Why the study?
MINOCA represents a heterogeneous group of disease whose prognosis, predictors of mortality, and optimum management remain unclear.
MINOCA is a complex, heterogeneous condition requiring systematic evaluation to identify underlying causes such as plaque disruption, coronary spasm, or microvascular dysfunction to guide appropriate therapy.
Prompts etiology-specific evaluation of MINOCA in practice; leaves open standardized management and prognostic tools.
The term myocardial infarction with non-obstructive coronary arteries (MINOCA) applies to patients who have clinical evidence of AMI but coronary angiography reveals no coronary obstructions and an alternative diagnosis is not possible. It is a heterogenous group of disease. Its prognosis, predictors of mortality and optimum management is unclear. In this review, we present a disease overview for MINOCA including the clinical features, adopted definitions, prevalence, diagnosis, treatment, and prognosis.
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Shamsi et al. (2021) conducted a review in Myocardial Infarction Without Obstructive Coronary Artery Disease (MINOCA). MINOCA is a heterogeneous condition with a prevalence of 5-15% among patients with acute myocardial infarction, requiring a systematic diagnostic approach to determine the underlying etiology.
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