Myocardial Infarction With Nonobstructive Coronary Arteries: A Call for Individualized Treatment
نویسندگان
چکیده
منابع مشابه
Acute myocardial infarction with normal coronary arteries.
IN THE DIAGNOSIS of myocardial infarction, selective coronary arteriography almost invariably demonstrates evidence of occlusive atherosclerosis. There have, however, been reports of cases where technically excellent coronary arteriograms have shown normal vessels and a variety of causes other than atherosclerosis have been incriminated.1-4 This problem has not been resolved but some evidence n...
متن کاملAcute Myocardial Infarction with Normal Coronary Arteries
IN THE DIAGNOSIS of myocardial infarction, selective coronary arteriography almost invariably demonstrates evidence of occlusive atherosclerosis. There have, however, been reports of cases where technically excellent coronary arteriograms have shown normal vessels and a variety of causes other than atherosclerosis have been incriminated.1-4 This problem has not been resolved but some evidence n...
متن کاملMyocardial infarction with angiographically normal coronary arteries.
Myocardial Infarction with Normal Coronary Arteries (MINCA) is an important subgroup of myocardial infarction with a frequency of at least 3-4% of all myocardial infarctions. The interest and awareness of MINCA have increased recently due to the frequent use of coronary angiography, the description of Takotsubo stress cardiomyopathy and new sensitive troponin assays. Since myocarditis may mimic...
متن کاملCoronary arteries in fatal acute myocardial infarction.
The coronary arteries are diffusely involved by atherosclerotic plaques in fatal acute myocardial infarction (AMI). The degree of luminal narrowing may vary but plaques are present in practically every millimeter of extramural coronary artery. Usually the lumens of at least two of the three major coronary arteries are narrowed >75% by old plaques in patients who die suddenly (<6 hours) from car...
متن کاملLetter by Mahajan et al Regarding Article, "Systematic Review of Patients Presenting With Suspected Myocardial Infarction and Nonobstructive Coronary Arteries".
BACKGROUND Myocardial infarction with nonobstructive coronary arteries (MINOCA) is a puzzling clinical entity with no previous evaluation of the literature. This systematic review aims to (1) quantify the prevalence, risk factors, and 12-month prognosis in patients with MINOCA, and (2) evaluate potential pathophysiological mechanisms underlying this disorder. METHODS AND RESULTS Quantitative ...
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ژورنال
عنوان ژورنال: Journal of the American Heart Association
سال: 2019
ISSN: 2047-9980
DOI: 10.1161/jaha.119.013361