Key result
OCT reliably identifies underlying mechanisms in MINOCA to enable tailored medical management.
Why the study?
MINOCA comprises an important minority of acute MI cases with diverse pathogenetic mechanisms that require precise identification for tailored therapy.
Does optical coherence tomography help identify the underlying pathogenetic mechanisms in patients with MINOCA?
Does optical coherence tomography help identify the underlying pathogenetic mechanisms in patients with MINOCA?
OCT is an indispensable tool for identifying the underlying pathogenetic mechanisms in MINOCA, which, especially when combined with cardiac magnetic resonance, enables tailored therapeutic management.
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May support tailored MINOCA therapy; leaves open need for prospective outcome trials before practice change.
Karamasis et al. (2022) conducted a review in MI with non-obstructive coronary arteries (MINOCA). Optical coherence tomography (OCT) was evaluated. Optical coherence tomography (OCT) reliably identifies underlying pathogenetic mechanisms of MINOCA, such as plaque rupture or erosion, enabling tailored therapeutic management.
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