MINOCA: The caveat of absence of coronary obstruction in myocardial infarction
| Autor: | Sebastiaan C.A.M. Bekkers, Jordi Heijman, Renicus S Hermanides, Martijn W. Smulders, Yvonne J. M. van Cauteren, T. F. S. Pustjens, Arnoud W J van 't Hof, Saman Rasoul, Nousjka P.A. Vranken, Jan Paul Ottervanger, Evelien Kolkman |
|---|---|
| Přispěvatelé: | Promovendi CD, Cardiologie, MUMC+: MA Cardiologie (9), RS: Carim - H01 Clinical atrial fibrillation, MUMC+: MA Med Staf Artsass Cardiologie (9), RS: Carim - Blood, RS: Carim - Heart, MUMC+: MA Med Staf Artsass Interne Geneeskunde (9), RS: Carim - B06 Imaging, MUMC+: MA Med Staf Spec Cardiologie (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome lcsh:Diseases of the circulatory (Cardiovascular) system ARTERIES MINOCA Total population 030204 cardiovascular system & hematology GUIDELINES DISEASE Clinical research STE-ACS Coronary artery disease 03 medical and health sciences 0302 clinical medicine Internal medicine medicine ARTERY-DISEASE 030212 general & internal medicine Myocardial infarction Original Paper MINOCA ACS/NSTE-ACS Potential risk business.industry Mortality rate medicine.disease Coronary arteries medicine.anatomical_structure lcsh:RC666-701 CARDIOVASCULAR MAGNETIC-RESONANCE Cardiology Cardiology and Cardiovascular Medicine business POSITION PAPER |
| Zdroj: | IJC Heart & Vasculature, 29:100572. Elsevier Ireland Ltd International Journal of Cardiology: Heart & Vasculature, Vol 29, Iss, Pp 100572-(2020) International Journal of Cardiology. Heart & Vasculature |
| ISSN: | 2352-9067 |
| Popis: | Highlights • The MINOCA prevalence is 5.2% in the total ACS population. • MINOCA occurs predominantly in the NSTE-ACS population and in females. • MINOCA show an ‘intermediate’ risk profile with mortality rates in between those of SV-ACS and MV-ACS. Aims Whether patients with MINOCA (myocardial infarction with non-obstructive coronary arteries) have better outcomes than patients with obstructive coronary artery disease remains contradictory. The current study focussed on the clinical profile and prognosis of MINOCA patients. Methods and results We performed a retrospective analysis of patients with acute coronary syndrome (ACS) admitted to the Isala hospital in Zwolle, the Netherlands, between 2006 and 2014. A total of 7693 patients were categorized into three groups: MINOCA, single-vessel obstructive ACS (SV-ACS), and multi-vessel obstructive ACS (MV-ACS). MINOCA patients (5.2% of the total population) were more likely to be female (51.5% vs. 30.3% and 26.0% in SV-ACS and MV-ACS, respectively, p |
| Databáze: | OpenAIRE |
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