ABSTRACT
From 6% to 8% of patients who present with myocardial infarction have no evidence of obstructive coronary artery disease on angiography. This subgroup tends to be younger, and more of them are women. This review highlights a proposed algorithm to identify the underlying cause of myocardial infarction with nonobstructive coronary arteries (MINOCA). We emphasize the need for a collaborative approach in diagnosing and managing MINOCA to improve patient outcomes, advocating for a standardized diagnostic pathway that incorporates cardiac magnetic resonance imaging and comprehensive clinical evaluation to tailor treatments effectively.
- Copyright © 2024 The Cleveland Clinic Foundation. All Rights Reserved.
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- Kevin G. Buda, DO
- Sanjoyita Mallick, DO⇑
- Address:
Sanjoyita Mallick, DO, Department of Medicine, Hennepin Healthcare, 701 Park Avenue, Minneapolis, MN 55415-1829; Sanjoyita.mallick{at}hcmed.org
- Louis P. Kohl, MD
ABSTRACT
From 6% to 8% of patients who present with myocardial infarction have no evidence of obstructive coronary artery disease on angiography. This subgroup tends to be younger, and more of them are women. This review highlights a proposed algorithm to identify the underlying cause of myocardial infarction with nonobstructive coronary arteries (MINOCA). We emphasize the need for a collaborative approach in diagnosing and managing MINOCA to improve patient outcomes, advocating for a standardized diagnostic pathway that incorporates cardiac magnetic resonance imaging and comprehensive clinical evaluation to tailor treatments effectively.
- Copyright © 2024 The Cleveland Clinic Foundation. All Rights Reserved.
In this issue
Jump to section
- Article
- ABSTRACT
- MYOCARDIAL INFARCTIONS DEFINED AND CLASSIFIED
- MINOCA AS A CLINICAL CONDITION
- NUTS AND BOLTS OF THE AHA STATEMENT
- A TRAFFIC-LIGHT ALGORITHM FOR DIAGNOSING MINOCA
- CASE CONTINUED: SEPTAL BRANCH OCCLUSION
- OUTCOMES BY SUBTYPE UNCERTAIN
- MAJOR CAUSES OF MINOCA
- CLINICAL WORKUP OF MINOCA: WHAT’S NEW?
- TREATMENT
- DISCLOSURES
- REFERENCES
- Figures & Data
- Info & Metrics