Key result
MINOCA is a working diagnosis encompassing coronary, myocardial, and non-cardiac etiologies that requires comprehensive evaluation using modalities like CMR and OCT to guide cause-specific treatment.
Why the study?
MINOCA has gained recognition, necessitating an understanding of its working diagnosis, underlying conditions, and appropriate diagnostic methods to provide cause-specific treatment.
This review emphasizes the importance of a systematic diagnostic workflow for MINOCA to identify the underlying cause and provide targeted, cause-specific treatment.
Recent advancements in the medical field have significantly improved the diagnosis and treatment of ischemic heart disease. Furthermore, myocardial infarction without coronary artery obstruction, known as myocardial infarction with non-obstructive coronary arteries (MINOCA), has gained recognition. The etiology of MINOCA as a “working diagnosis” can be attributed to coronary, myocardial, and non-cardiac disorders. Understanding the “working diagnosis” of MINOCA, comprehending its underlying conditions, and carrying out appropriate diagnostic methods for each etiology to provide cause-specific treatment is necessary. We present a clinical overview of MINOCA, including its diagnosis, and a detailed review of each underlying condition.
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Otsuka et al. (2024) conducted a review in Myocardial infarction with non-obstructive coronary arteries (MINOCA). MINOCA diagnosis and management was evaluated. MINOCA is a working diagnosis encompassing coronary, myocardial, and non-cardiac etiologies that requires comprehensive evaluation using modalities like CMR and OCT to guide cause-specific treatment.
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