A Review of the Evidence for Treatment of Myocardial Infarction With Nonobstructive Coronary Arteries.

ABSTRACT: Myocardial infarction (MI) with non-obstructive coronary arteries (MINOCA) is reported in 6% of patients with acute MI referred for catheterization. Because of the complex etiology and a limited amount of evidence, the treatment of MINOCA remains elusive. The etiology of MINOCA manifests from several causes including plaque disruption or erosion, epicardial coronary artery vasospasm, and coronary microvascular dysfunction. In addition, spontaneous coronary artery dissection, takotsubo, and myocarditis have been identified as contributing to the diagnosis of MINOCA. Patients with MINOCA are frequently young, non-white females with fewer traditional risk factors compared with those with an MI caused by obstructive coronary disease. Moreover, women who suffered an MI are 5 times more likely t

SUBMITTER: Sluchinski SL 

PROVIDER: S-EPMC7499383 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature