What an Interventionalist Needs to Know About MI with Non-obstructive Coronary Arteries

MI with non-obstructive coronary arteries (MINOCA) is caused by a heterogeneous group of vascular or myocardial disorders. MINOCA occurs in 5–15% of patients presenting with acute ST-segment elevation MI or non-ST segment elevation MI and prognosis is impaired. The diagnosis of MINOCA is made during...

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Autores principales:	Robert Sykes, Daniel Doherty, Kenneth Mangion, Andrew Morrow, Colin Berry
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/d7b1cf4514ae4df7ac47249d3c48bfdf
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spelling	oai:doaj.org-article:d7b1cf4514ae4df7ac47249d3c48bfdf2021-12-04T16:04:36ZWhat an Interventionalist Needs to Know About MI with Non-obstructive Coronary Arteries10.15420/icr.2021.101756-14851756-1477https://doaj.org/article/d7b1cf4514ae4df7ac47249d3c48bfdf2021-06-01T00:00:00Zhttps://icrjournal.com/articleindex/icr.2021.10https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485MI with non-obstructive coronary arteries (MINOCA) is caused by a heterogeneous group of vascular or myocardial disorders. MINOCA occurs in 5–15% of patients presenting with acute ST-segment elevation MI or non-ST segment elevation MI and prognosis is impaired. The diagnosis of MINOCA is made during coronary angiography following acute MI, where there is no stenosis ≥50% present in an infarct-related epicardial artery and no overt systemic aetiology for the presentation. Accurate diagnosis and subsequent management require the appropriate utilisation of intravascular imaging, coronary function testing and subsequent imaging to assess for myocardial disorders without coronary involvement. Although plaque-related MINOCA is currently managed with empirical secondary prevention strategies, there remains an unmet therapeutic need for targeted and evidence-based therapy for MINOCA patients and increased awareness of the recommended diagnostic pathway.Robert SykesDaniel DohertyKenneth MangionAndrew MorrowColin BerryRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 16, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Robert Sykes Daniel Doherty Kenneth Mangion Andrew Morrow Colin Berry What an Interventionalist Needs to Know About MI with Non-obstructive Coronary Arteries
description	MI with non-obstructive coronary arteries (MINOCA) is caused by a heterogeneous group of vascular or myocardial disorders. MINOCA occurs in 5–15% of patients presenting with acute ST-segment elevation MI or non-ST segment elevation MI and prognosis is impaired. The diagnosis of MINOCA is made during coronary angiography following acute MI, where there is no stenosis ≥50% present in an infarct-related epicardial artery and no overt systemic aetiology for the presentation. Accurate diagnosis and subsequent management require the appropriate utilisation of intravascular imaging, coronary function testing and subsequent imaging to assess for myocardial disorders without coronary involvement. Although plaque-related MINOCA is currently managed with empirical secondary prevention strategies, there remains an unmet therapeutic need for targeted and evidence-based therapy for MINOCA patients and increased awareness of the recommended diagnostic pathway.
format	article
author	Robert Sykes Daniel Doherty Kenneth Mangion Andrew Morrow Colin Berry
author_facet	Robert Sykes Daniel Doherty Kenneth Mangion Andrew Morrow Colin Berry
author_sort	Robert Sykes
title	What an Interventionalist Needs to Know About MI with Non-obstructive Coronary Arteries
title_short	What an Interventionalist Needs to Know About MI with Non-obstructive Coronary Arteries
title_full	What an Interventionalist Needs to Know About MI with Non-obstructive Coronary Arteries
title_fullStr	What an Interventionalist Needs to Know About MI with Non-obstructive Coronary Arteries
title_full_unstemmed	What an Interventionalist Needs to Know About MI with Non-obstructive Coronary Arteries
title_sort	what an interventionalist needs to know about mi with non-obstructive coronary arteries
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/d7b1cf4514ae4df7ac47249d3c48bfdf
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What an Interventionalist Needs to Know About MI with Non-obstructive Coronary Arteries

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