MINOCA presenting with STEMI- a review of incidence, aetiology, assessment and treatment
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.
Item Type | Article |
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Additional information | © Radcliffe Cardiology 2020. This work is open access under the CC-BY-NC 4.0 License which allows users to copy, redistribute and make derivative works for non-commercial purposes, provided the original work is cited correctly (https://creativecommons.org/licenses/by-nc/4.0/). |
Date Deposited | 15 May 2025 14:19 |
Last Modified | 31 May 2025 00:24 |