Role of Intracoronary Imaging in Myocardial Infarction with Non-Obstructive Coronary Disease (MINOCA): A Review

被引：9
作者：
Borzillo, Irene [1 ,2 ]
De Filippo, Ovidio [1 ]
Manai, Rossella [1 ,2 ]
Bruno, Francesco [1 ]
Ravetti, Emanuele [1 ,2 ]
Galanti, Alma Andrea [1 ,2 ]
Vergallo, Rocco [3 ,4 ]
Porto, Italo [3 ,4 ]
De Ferrari, Gaetano Maria [1 ,2 ]
D'Ascenzo, Fabrizio [2 ]
机构：
[1] Citta Salute & Sci Hosp, Cardiovasc & Thorac Dept, Div Cardiol, I-10126 Turin, Italy
[2] Univ Turin, Dept Med Sci, I-10126 Turin, Italy
[3] Univ Genoa, Dept Internal Med, I-16132 Genoa, Italy
[4] IRCCS Osped Policlin San Martino, Cardiol Unit, I-16132 Genoa, Italy
来源：
JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 06期
关键词：
intracoronary imaging; intravascular ultrasounds; optical coherence tomography; myocardial infarction; cardiac magnetic resonance imaging; OPTICAL COHERENCE TOMOGRAPHY; CARDIOVASCULAR MAGNETIC-RESONANCE; INTRAVASCULAR ULTRASOUND; ARTERY-DISEASE; CHEST-PAIN; CLINICAL-FEATURES; VIRTUAL HISTOLOGY; WORKING GROUP; IMPACT; DIAGNOSIS;
D O I：
10.3390/jcm12062129
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Myocardial infarction with non-obstructive coronary artery disease occurs in 6% to 15% of all presentation of myocardial infarctions. The pathophysiologic mechanisms of MINOCA include epicardial vasospasm, coronary microvascular disorder, spontaneous coronary artery dissection, and coronary thrombus/embolism. The diagnosis is challenging, supported by intracoronary imaging with intravascular ultrasound (IVUS) and optical coherent tomography (OCT), coronary physiology testing, and cardiac magnetic resonance imaging (CMR). OCT is able to identify atherosclerotic causes of MINOCA (plaque erosion, plaque rupture, and calcified nodule) and nonatherosclerotic causes (spontaneous artery dissection, and spasm). In this review, we summarize the performance of the two intracoronary imaging modalities (IVUS and OCT) in MINOCA and discuss the importance of supplementing these modalities with CMR in order to drive target therapy.
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页数：14
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