Key result
CMR plus OCT provides a definitive diagnosis in MINOCA, which accounts for ~6% of MIs.
Why the study?
MINOCA is a heterogeneous disease entity with significant knowledge gaps in secondary prevention strategies and long-term prognosis improvement.
Population
Patients with suspected MINOCA
Design
Review
Authors
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Guideline recognition of MINOCA raises clinical awareness; leaves open prospective trials to define management in this heterogeneous population.
A multimodality diagnostic approach utilizing CMR and intracoronary imaging is essential for identifying the underlying etiology of MINOCA and guiding individualized management.
TAKAHASHI et al. (2023) conducted a review in Myocardial infarction with non-obstructive coronary arteries (MINOCA). Multimodality diagnostic approach (CMR and OCT) was evaluated. MINOCA accounts for about 6% of all acute myocardial infarctions, and a multimodality diagnostic approach combining CMR and OCT can provide a definite diagnosis in suspected patients.
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