| Autor: |
Ahmad Jabri, Saima Karim, Aisha Siraj, Meera Kondapaneni |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Clinical Cardiology and Cardiovascular Interventions. 3:01-04 |
| ISSN: |
2641-0419 |
| Popis: |
Myocardial Infarction in the absence of obstructive coronary artery disease [MINOCA] is seen in 5-6% of the patients presenting with myocardial infarction. While patients with MINOCA can present with either ST segment elevation or non-ST segment elevation myocardial infarction, they are less likely to have ST segment deviation on electrocardiography and have less of cardiac biomarker elevation compared to their obstructive coronary artery disease counterparts. Patients with MINOCA are usually younger and with lower prevalence of traditional cardiovascular risk factors compared with patients presenting with obstructive coronary artery disease. A variety of atherosclerotic and non-atherosclerotic mechanisms can lead to MINOCA. A diagnosis of MINOCA can only be made in patients whose clinical presentation is attributed to an ischemic event after excluding obstructive coronary artery disease and alternate causes for troponin elevation. A systematic approach to diagnosing the underlying causes is warranted to optimally treat patients presenting with MINOCA. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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