Myocardial infarction with nonobstructive coronary arteries (MINOCA) : indications for additional investigations and treatment
Myocardial infarction with nonobstructive coronary arteries (MINOCA) has multiple potential underlying causes which can be subdivided into coronary, myocardial and non-cardiac disorders. On the basis of three case descriptions, we show that additional investigations are crucial in determining the underlying mechanism and starting suitable treatment. Depending on clinical presentation, risk factors and medical history, an LV angiogram, a provocation test with intracoronary acetylcholine and a cardiac MRI can contribute to finding the correct diagnosis. We further present a diagnostic algorithm to guide the clinician in the management of patients presenting with MINOCA.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:163 |
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| Enthalten in: |
Nederlands tijdschrift voor geneeskunde - 163(2019) vom: 25. Nov. |
| Sprache: |
Niederländisch |
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| Weiterer Titel: |
Myocardinfarct zonder obstructief coronairlijden (MINOCA): indicaties tot aanvullende diagnostiek en behandeling |
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| Beteiligte Personen: |
Pustjens, Tobias [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 02.06.2020 Date Revised 02.06.2020 published: Electronic Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM30667694X |
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| 246 | 3 | 3 | |a Myocardinfarct zonder obstructief coronairlijden (MINOCA): indicaties tot aanvullende diagnostiek en behandeling |
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| 520 | |a Myocardial infarction with nonobstructive coronary arteries (MINOCA) has multiple potential underlying causes which can be subdivided into coronary, myocardial and non-cardiac disorders. On the basis of three case descriptions, we show that additional investigations are crucial in determining the underlying mechanism and starting suitable treatment. Depending on clinical presentation, risk factors and medical history, an LV angiogram, a provocation test with intracoronary acetylcholine and a cardiac MRI can contribute to finding the correct diagnosis. We further present a diagnostic algorithm to guide the clinician in the management of patients presenting with MINOCA | ||
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