Open AccessMyocardial Infarction with Non-obstructive Coronary Arteries-MINOCA
Author(s) -
Sahela Nasrin,
Masuma Jannat Shafi
Publication year - 2017
Publication title -
ibrahim cardiac medical journal
Language(s) - English
Resource type - Journals
eISSN - 2223-0971
pISSN - 2223-0963
DOI - 10.3329/icmj.v5i1-2.53721
Subject(s) - medicine , myocardial infarction , cardiology , coronary arteries , coronary artery disease , coronary angiography , hyperlipidemia , artery , coronary angiogram , angiography , diabetes mellitus , endocrinology
Myocardial Infarction with Non-obstructive Coronary Arteries-MINOCA is a clinical syndrome that encompasses a subgroup of heterogeneous patients who present with myocardial infarction yet do not have any significant coronary artery obstruction on angiogram. From several studies it is understood that MINOCA has a 8.8% prevalence of all Myocardial Infarction (MI) presentations, with no characteristic distinguishing clinical features when compared with MI-CAD( Coronary artery disease), except for patients being younger with a female preponderance & less likely to have hyperlipidemia. 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.
Ibrahim Card Med J 2015; 5 (1&2): 61-66