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

Gue, Ying X., Kanji, Rahim, Gati, Sabiha and Gorog, Diana (2020) MINOCA presenting with STEMI- a review of incidence, aetiology, assessment and treatment. European Cardiology Review (ECR), 15: e20. ISSN 1758-3764
Copy

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.


picture_as_pdf
ecr_15_e20.pdf
subject
Published Version
Available under Creative Commons: BY-NC 4.0

View Download
visibility_off description

Submitted Version
lock

Atom BibTeX OpenURL ContextObject in Span OpenURL ContextObject Dublin Core MPEG-21 DIDL Data Cite XML EndNote HTML Citation METS MODS RIOXX2 XML Reference Manager Refer ASCII Citation
Export

Downloads