Acute myocardial infarction with no obstructive coronary atherosclerosis: mechanisms and management

被引：273
作者：
Niccoli, Giampaolo [1 ]
Scalone, Giancarla [1 ,2 ]
Crea, Filippo [1 ]
机构：
[1] Univ Cattolica Sacro Cuore, Inst Cardiol, I-00168 Rome, Italy
[2] Hosp Clin Barcelona, Thorax Inst, Dept Cardiol, IDIBAPS Inst Invest Biomed Agust Pi & Sunyer, Barcelona, Spain
来源：
EUROPEAN HEART JOURNAL | 2015年 / 36卷 / 08期
关键词：
Acute myocardial infarction; No obstructive coronary atherosclerosis; OPTICAL COHERENCE TOMOGRAPHY; PATENT FORAMEN OVALE; LONG-TERM PROGNOSIS; ARTERY-DISEASE; MICROVASCULAR DYSFUNCTION; PARADOXICAL EMBOLISM; RISK STRATIFICATION; FOLLOW-UP; ANGINA; JAPANESE;
D O I：
10.1093/eurheartj/ehu469
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Myocardial infarction (MI) with no obstructive coronary atherosclerosis (MINOCA) is a syndrome with different causes. Its prevalence ranges between 5 and 25% of all MIs. The prognosis is extremely variable, depending on the causes of MINOCA. Clinical history, echocardiography, coronary angiography, and left ventriculography represent the first-level diagnostic investigations. Nevertheless, additional tests are required in order to establish its specific cause, thus allowing an appropriate risk stratification and treatment. We review pathogenesis, diagnosis, prognosis, and therapy of MINOCA and propose an algorithm for its management.
引用
收藏
页码：475 / 481
页数：7
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