MINOCA: Myocardial infarction no obstructive coronary artery disease

被引：4
|
作者：
Bakhshi, Hooman [1 ]
Gibson, C. Michael [2 ,3 ]
机构：
[1] Johns Hopkins Univ Hosp, Dept Med, Div Cardiol, Baltimore, MD USA
[2] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Med, Div Cardiovasc Med, Boston, MA USA
[3] Harvard Med Sch, Dept Med, Div Cardiovasc Med, Beth Israel Deaconess Med Ctr, 930 Commonwealth Ave 3, Boston, MA 02215 USA
来源：
AMERICAN HEART JOURNAL PLUS: CARDIOLOGY RESEARCH AND PRACTICE | 2023年 / 33卷
关键词：
Cardiac MRI; IVUS; OCT; MINOCA; SCAD;
D O I：
10.1016/j.ahjo.2023.100312
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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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页数：3
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