• Cleve Clin J Med · Dec 2024

    Review

    Myocardial infarction with nonobstructive coronary arteries: Current management strategies.

    • Kevin G Buda, Sanjoyita Mallick, and Louis P Kohl.
    • Cardiology Division, Department of Internal Medicine, Hennepin Healthcare, Minneapolis, MN; Minneapolis Heart Institute and Abbott Northwestern Hospital, Minneapolis, MN.
    • Cleve Clin J Med. 2024 Dec 2; 91 (12): 743753743-753.

    AbstractFrom 6% to 8% of patients who present with myocardial infarction have no evidence of obstructive coronary artery disease on angiography. This subgroup tends to be younger, and more of them are women. This review highlights a proposed algorithm to identify the underlying cause of myocardial infarction with nonobstructive coronary arteries (MINOCA). We emphasize the need for a collaborative approach in diagnosing and managing MINOCA to improve patient outcomes, advocating for a standardized diagnostic pathway that incorporates cardiac magnetic resonance imaging and comprehensive clinical evaluation to tailor treatments effectively.Copyright © 2024 The Cleveland Clinic Foundation. All Rights Reserved.

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