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

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..

Medienart:

Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

European heart journal - 36(2015), 8, Seite 475-481

Sprache:

Englisch

Beteiligte Personen:

Niccoli, Giampaolo [VerfasserIn]
Scalone, Giancarla [Sonstige Person]
Crea, Filippo [Sonstige Person]

Links:

Volltext
www.ncbi.nlm.nih.gov

Themen:

Coronary Vasospasm - complications
Embolism - complications
Myocardial Infarction - diagnosis
Myocardial Infarction - etiology
Myocardial Infarction - therapy
Myocarditis - complications
Myocarditis - diagnosis
Plaque, Atherosclerotic - complications
Rupture, Spontaneous - complications
Takotsubo Cardiomyopathy - complications
Vascular Remodeling - physiology

doi:

10.1093/eurheartj/ehu469

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC1956953736