Why the study?
Underlying mechanisms of MINOCA have not been fully understood until recently, and evidence suggests their clinical outcomes are similar to patients with MI-CAD.
Do patients with MINOCA have similar prognosis compared to those with MI-CAD?
Do patients with MINOCA have similar prognosis compared to those with MI-CAD?
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This narrative review highlights that patients with MINOCA have a similar prognosis to those with MI-CAD, emphasizing the need for appropriate recognition and management.
Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality worldwide and it is primarily caused by acute plaque disruption and coronary occlusion. Recent studies suggest that myocardial infarction with non-obstructive coronary arteries (MINOCA) also occurs but the underlying mechanisms have not been fully understood until recently. The evidence also suggests that the clinical outcomes of patients presenting with MINOCA are similar to AMI patients with obstructive coronary artery disease (MI-CAD), including all-cause mortality and major adverse cardiovascular events. The present narrative review considers the risk factors, pathological changes, and outcomes associated with MINOCA and compares them with MI-CAD.
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Jia et al. (2022) studied this question.
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