MINOCA: Myocardial infarction no obstructive coronary artery disease

Myocardial infarction without obstructive coronary artery disease (MINOCA) is defined as myocardial infarction with mild or no obstructive coronary artery disease (CAD) on angiogram. MINOCA has a number of heterogeneous causes, including coronary disruption, coronary vasospasm, coronary embolism, sp...

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Main Authors: Hooman Bakhshi, C. Michael Gibson
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:American Heart Journal Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666602223000642
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author Hooman Bakhshi
C. Michael Gibson
author_facet Hooman Bakhshi
C. Michael Gibson
author_sort Hooman Bakhshi
collection DOAJ
description Myocardial infarction without obstructive coronary artery disease (MINOCA) is defined as myocardial infarction with mild or no obstructive coronary artery disease (CAD) on angiogram. MINOCA has a number of heterogeneous causes, including coronary disruption, coronary vasospasm, coronary embolism, spontaneous coronary artery dissection (SCAD), and coronary microvascular dysfunction (CMD). Even though MINOCA might have a better prognosis than MI with obstructive CAD, it is not benign. A stepwise diagnostic approach is crucial to identifying the underlying cause of MINOCA or conditions mimicking it. A cause-specific treatment approach is the key to managing MINOCA.
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spelling doaj.art-5df1a0e5d40442a1b4f9d4ed8a0f109d2023-08-25T04:24:51ZengElsevierAmerican Heart Journal Plus2666-60222023-09-0133100312MINOCA: Myocardial infarction no obstructive coronary artery diseaseHooman Bakhshi0C. Michael Gibson1Division of Cardiology, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, USADivision of Cardiovascular Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; Correspondent author at: Division of Cardiovascular Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 930 Commonwealth Ave #3, Boston, MA 02215, USA.Myocardial infarction without obstructive coronary artery disease (MINOCA) is defined as myocardial infarction with mild or no obstructive coronary artery disease (CAD) on angiogram. MINOCA has a number of heterogeneous causes, including coronary disruption, coronary vasospasm, coronary embolism, spontaneous coronary artery dissection (SCAD), and coronary microvascular dysfunction (CMD). Even though MINOCA might have a better prognosis than MI with obstructive CAD, it is not benign. A stepwise diagnostic approach is crucial to identifying the underlying cause of MINOCA or conditions mimicking it. A cause-specific treatment approach is the key to managing MINOCA.http://www.sciencedirect.com/science/article/pii/S2666602223000642Cardiac MRIIVUSOCTMINOCASCAD
spellingShingle Hooman Bakhshi
C. Michael Gibson
MINOCA: Myocardial infarction no obstructive coronary artery disease
American Heart Journal Plus
Cardiac MRI
IVUS
OCT
MINOCA
SCAD
title MINOCA: Myocardial infarction no obstructive coronary artery disease
title_full MINOCA: Myocardial infarction no obstructive coronary artery disease
title_fullStr MINOCA: Myocardial infarction no obstructive coronary artery disease
title_full_unstemmed MINOCA: Myocardial infarction no obstructive coronary artery disease
title_short MINOCA: Myocardial infarction no obstructive coronary artery disease
title_sort minoca myocardial infarction no obstructive coronary artery disease
topic Cardiac MRI
IVUS
OCT
MINOCA
SCAD
url http://www.sciencedirect.com/science/article/pii/S2666602223000642
work_keys_str_mv AT hoomanbakhshi minocamyocardialinfarctionnoobstructivecoronaryarterydisease
AT cmichaelgibson minocamyocardialinfarctionnoobstructivecoronaryarterydisease