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        MINOCA presenting with STEMI- a review of incidence, aetiology, assessment and treatment

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        Author
        Gue, Ying X.
        Kanji, Rahim
        Gati, Sabiha
        Gorog, Diana
        Attention
        2299/22779
        Abstract
        Myocardial infarction with non-obstructive coronary artery (MINOCA) is a condition previously thought to be benign but has recently been shown to have comparable mortality to that of acute coronary syndrome with obstructive coronary disease. The heterogeneity of the underlying aetiology makes the assessment, investigation and treatment of patients with MINOCA challenging. The majority of patients with MINOCA presenting with ST-segment elevation myocardial infarction (STEMI) generally have an underlying coronary or myocardial cause, predominantly plaque disruption or myocarditis. In order to make the correct diagnosis, including the cause of the presentation, a meticulous and methodical approach is required, with targeted investigations. Stratification of patients to guide investigations that are more likely to provide the diagnosis will allow correct treatment to be initiated promptly. Herein, we review the contemporary incidence, aetiology, recommended assessment and treatment of patients with MINOCA presenting with STEMI.
        Publication date
        2020-04-30
        Published in
        European Cardiology Review
        Published version
        https://doi.org/10.15420/ecr.2019.13
        License
        http://creativecommons.org/licenses/by-nc/4.0/
        Other links
        http://hdl.handle.net/2299/22779
        Relations
        School of Life and Medical Sciences
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