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Review
[Myocardial ischemia without coronary obstructions: MINOCA-INOCA. Review for decision making].
- Hernán Cohen Arazi, Ricardo Iglesias, Ernesto Duronto, Adrián Lescano, Roxana Campisi, Alejandro Deviggiano, Christian Caroli, Sebastián Nani, Javier Mariani, Daniel Comtesse, Silvia Zanotti, Juan Carlos Kaski, and GREECO (Grupo de Estudio de Enfermedades Coronarias).
- Servicio de Cardiología, Sanatorio Trinidad Mitre, Argentina. E-mail: H_c_arazi@yahoo.com.
- Medicina (B Aires). 2020 Jan 1; 80 (3): 253-270.
AbstractOne in every four coronarographies performed to study myocardial ischemia shows coronary angiographic stenosis less than 50%. This data triggered an increasing interest in the medical community. The American Society of Cardiology recently published a position paper about the pathophysiology, diagnosis and treatment of this entity. Our group performed a narrative review reflecting the opinion of cardiology experts from different centers in Argentina. It aims physiopatologic and diagnostic aspect to understand the current approach in patients with MINOCA (myocardial infarction with non-obstructive coronary arteries) e INOCA (demonstrated angina and ischemia but without coronary lesions that justify this syndrome).
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