Role of Cardiac Magnetic Resonance Imaging in the Evaluation of MINOCA

被引：12

作者：

Daneshrad, Justin A. ^{[1
]}

Ordovas, Karen ^{[2
]}

Sierra-Galan, Lilia M. ^{[3
]}

Hays, Allison G. ^{[4
]}

Mamas, Mamas A. ^{[5
]}

Bucciarelli-Ducci, Chiara ^{[6
,7
]}

Parwani, Purvi ^{[1
]}

机构：

[1] Loma Linda Univ Hlth, Dept Internal Med, Loma Linda, CA 92354 USA

[2] Univ Washington, Dept Cardiothorac Imaging, Seattle, WA 98195 USA

[3] Amer British Cowdray Med Ctr, Mexico City 05348, Mexico

[4] Johns Hopkins Univ, Sch Med, Div Cardiol, Baltimore, MD 21218 USA

[5] Keele Univ, Inst Sci & Technol Med & Primary Care, Keele Cardiac Res Grp, Stoke On Trent ST4 2DE, Staffs, England

[6] Guys & St Thomas NHS Fdn Trust, Royal Brompton & Harefield Hosp, London SE1 7EH, England

[7] Kings Coll London, Fac Life Sci & Med, Sch Biomed Engn & Imaging Sci, London WC2R 2LS, England

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 05期

关键词：

myocardial infarction with non-obstructive coronary arteries; MINOCA; acute myocardial infarction; coronary artery disease; angiography; Cardiac magnetic Resonance Imaging; myocardium; ELEVATION MYOCARDIAL-INFARCTION; CORONARY-ARTERIES; HEART-FAILURE; CHEST-PAIN; OUTCOMES; TROPONIN; CMR; CARDIOLOGY; COMMITTEE; LEVEL;

D O I：

10.3390/jcm12052017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Myocardial infarction with Non Obstructive Coronary Arteries (MINOCA) is defined by patients presenting with signs and symptoms similar to acute myocardial infarction, but are found to have non-obstructive coronary arteries angiography. What was once considered a benign phenomenon, MINOCA has been proven to carry with it significant morbidity and worse mortality when compared to the general population. As the awareness for MINOCA has increased, guidelines have focused on this unique situation. Cardiac magnetic resonance (CMR) has proven to be an essential first step in the diagnosis of patients with suspected MINOCA. CMR has also been shown to be crucial when differentiating between MINOCA like presentations such as myocarditis, takotsubo and other forms of cardiomyopathy. The following review focuses on demographics of patients with MINOCA, their unique clinical presentation as well as the role of CMR in the evaluation of MINOCA.

引用

页数：12

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