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

Filippo Crea, Giampaolo Niccoli, Giancarla Scalone

Risultato della ricerca: Contributo in rivistaArticolo in rivista

154 Citazioni (Scopus)

Abstract

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.
Lingua originaleEnglish
pagine (da-a)475-481
Numero di pagine7
RivistaEuropean Heart Journal
Volume36
DOI
Stato di pubblicazionePubblicato - 2015

Keywords

  • Acute myocardial infarction
  • No obstructive coronary atherosclerosis

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