Format

Send to

Choose Destination
Eur Heart J. 2015 Feb 21;36(8):475-81. doi: 10.1093/eurheartj/ehu469. Epub 2014 Dec 18.

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

Author information

1
Institute of Cardiology, Catholic University of the Sacred Heart, Largo Agostino Gemelli, 8, Rome 00168, Italy gniccoli73@hotmail.it.
2
Institute of Cardiology, Catholic University of the Sacred Heart, Largo Agostino Gemelli, 8, Rome 00168, Italy Department of Cardiology, Thorax Institute, IDIBAPS: Institut d'Investigacions Biomediques Agust Pi i Sunyer, Hospital Clinic, Barcelona, Spain.
3
Institute of Cardiology, Catholic University of the Sacred Heart, Largo Agostino Gemelli, 8, Rome 00168, Italy.

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.

KEYWORDS:

Acute myocardial infarction; No obstructive coronary atherosclerosis

PMID:
25526726
DOI:
10.1093/eurheartj/ehu469
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center