TY - JOUR
T1 - Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease
T2 - A Scientific Statement From the American Heart Association
AU - Tamis-Holland, Jacqueline E.
AU - Jneid, Hani
AU - Reynolds, Harmony R.
AU - Agewall, Stefan
AU - Brilakis, Emmanouil S.
AU - Brown, Todd M.
AU - Lerman, Amir
AU - Cushman, Mary
AU - Kumbhani, Dharam J.
AU - Arslanian-Engoren, Cynthia
AU - Bolger, Ann F.
AU - Beltrame, John F.
N1 - Publisher Copyright:
© 2019 American Heart Association, Inc.
PY - 2019/4/30
Y1 - 2019/4/30
N2 - Myocardial infarction in the absence of obstructive coronary artery disease is found in ≈5% to 6% of all patients with acute infarction who are referred for coronary angiography. There are a variety of causes that can result in this clinical condition. As such, it is important that patients are appropriately diagnosed and an evaluation to uncover the correct cause is performed so that, when possible, specific therapies to treat the underlying cause can be prescribed. This statement provides a formal and updated definition for the broadly labelled term MINOCA (incorporating the definition of acute myocardial infarction from the newly released "Fourth Universal Definition of Myocardial Infarction") and provides a clinically useful framework and algorithms for the diagnostic evaluation and management of patients with myocardial infarction in the absence of obstructive coronary artery disease.
AB - Myocardial infarction in the absence of obstructive coronary artery disease is found in ≈5% to 6% of all patients with acute infarction who are referred for coronary angiography. There are a variety of causes that can result in this clinical condition. As such, it is important that patients are appropriately diagnosed and an evaluation to uncover the correct cause is performed so that, when possible, specific therapies to treat the underlying cause can be prescribed. This statement provides a formal and updated definition for the broadly labelled term MINOCA (incorporating the definition of acute myocardial infarction from the newly released "Fourth Universal Definition of Myocardial Infarction") and provides a clinically useful framework and algorithms for the diagnostic evaluation and management of patients with myocardial infarction in the absence of obstructive coronary artery disease.
KW - AHA Scientific Statements
KW - angiography
KW - coronary artery disease
KW - coronary vasospasm
KW - microvascular disease
KW - myocardial infarction
KW - nonobstructive
KW - spontaneous coronary artery dissection
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U2 - 10.1161/CIR.0000000000000670
DO - 10.1161/CIR.0000000000000670
M3 - Article
C2 - 30913893
AN - SCOPUS:85065509814
SN - 0009-7322
VL - 139
SP - E891-E908
JO - Circulation
JF - Circulation
IS - 18
ER -