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Reviews in Cardiovascular Medicine  2021, Vol. 22 Issue (3): 625-634     DOI: 10.31083/j.rcm2203073
Special Issue: Contemporary Management of Special Subsets of Acute Coronary Syndromes Patients
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Management of myocardial infarction with Nonobstructive Coronary Arteries (MINOCA): a subset of acute coronary syndrome patients
Anthony G. Matta1, 2, Vanessa Nader1, 3, Jerome Roncalli1, *()
1Department of Cardiology, Toulouse University Hospital, 31059 Toulouse, France
2Faculty of Medicine, Holy Spirit University of Kaslik, 446 Jounieh, Lebanon
3Faculty of Pharmacy, Lebanese University, 13-5033 Beirut, Lebanon
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Abstract:
Myocardial infarction with non-obstructive coronary artery disease (MINOCA) represents a significant proportion (up to 15%) of acute myocardial infarction (AMI) population. MINOCA is diagnosed in patients who fullfilled the fourth universal definition of AMI in the absence of significant obstructive coronary artery disease on coronary angiography. MINOCA is a group of heterogeneous diseases with different pathophysiological mechanisms requiring multimodality imaging. Left ventriculography, cardiac magnetic resonance imaging and intra-coronary imaging (IVUS, OCT) are useful tools playing a pivotal role in the diagnostic work-up. There are no standard guidelines on the management of MINOCA patients and the therapeutic approach is personalized, thereby detecting the underlying aetiology is fundamental to initiate an early appropriate cause-targeted therapy.
Key words:  MINOCA      Management      Myocardial infarction      Atherosclerosis     
Submitted:  30 April 2021      Revised:  04 June 2021      Accepted:  11 June 2021      Published:  24 September 2021     
*Corresponding Author(s):  Jerome Roncalli     E-mail:  roncalli.j@chu-toulouse.fr

Cite this article: 

Anthony G. Matta, Vanessa Nader, Jerome Roncalli. Management of myocardial infarction with Nonobstructive Coronary Arteries (MINOCA): a subset of acute coronary syndrome patients. Reviews in Cardiovascular Medicine, 2021, 22(3): 625-634.

URL: 

https://rcm.imrpress.com/EN/10.31083/j.rcm2203073     OR     https://rcm.imrpress.com/EN/Y2021/V22/I3/625

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