Myocardial infarction without obstructive coronary artery disease (MINOCA)

Introduction: Ischemic coronary artery disease is a common health problem that requires substantial resources from health care systems. The most common clinical phenotype has been obstructive atherosclerotic disease of the coronary arteries, which has now changed to the phenotype without coronary ob...

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Main Authors: Klever Geovanny Cárdenas Chacha, Yeseb Janira Vera Torres, Antonella Fanny Montenegro Villavicencio, Amilkar Suárez, Shirley Abigail López Baños
Format: Article
Language:English
Published: Universidad de Ciencias Médicas de Holguín 2025-01-01
Series:Correo Científico Médico
Online Access:https://revcocmed.sld.cu/index.php/cocmed/article/view/5205
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author Klever Geovanny Cárdenas Chacha
Yeseb Janira Vera Torres
Antonella Fanny Montenegro Villavicencio
Amilkar Suárez
Shirley Abigail López Baños
author_facet Klever Geovanny Cárdenas Chacha
Yeseb Janira Vera Torres
Antonella Fanny Montenegro Villavicencio
Amilkar Suárez
Shirley Abigail López Baños
author_sort Klever Geovanny Cárdenas Chacha
collection DOAJ
description Introduction: Ischemic coronary artery disease is a common health problem that requires substantial resources from health care systems. The most common clinical phenotype has been obstructive atherosclerotic disease of the coronary arteries, which has now changed to the phenotype without coronary obstruction, MINOCA. Objective: To present the current status of diagnosis and treatment of myocardial infarction without obstructive coronary artery disease (MINOCA). Method: Information was sought in Pubmed, SciELO, LILACS, LIS and SCOPUS based on the descriptors: myocardial infarction, coronary artery disease, thromboembolism and myocarditis. A database was created with downloaded articles, which after being processed resulted in 26 references. Development: Acute myocardial infarction without obstructive coronary lesions (MINOCA) is a recently defined condition in cardiological practice. Its diagnosis is based on coronary angiography, which initiates an etiological search process that is often complex, but with prognostic and therapeutic importance. From all myocardial infarctions (MI), this one represents 6 to 8%; more frequent in young black women, who suffer Acute Coronary Syndrome without ST-segment elevation. Conclusions: Myocardial infarction without obstructive coronary artery disease (MINOCA), is associated with unconventional risk factors. It should be taken into account that a normal coronary angiogram or an angiogram showing non-obstructive disease does not mean that it is benign. Keywords: myocardial infarction, coronary artery disease, myocarditis, thromboembolism
format Article
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institution Kabale University
issn 2708-5481
language English
publishDate 2025-01-01
publisher Universidad de Ciencias Médicas de Holguín
record_format Article
series Correo Científico Médico
spelling doaj-art-24ce0fc60a9d4acca1dac65343bd4b762025-02-10T03:22:09ZengUniversidad de Ciencias Médicas de HolguínCorreo Científico Médico2708-54812025-01-01290e5205e52051610Myocardial infarction without obstructive coronary artery disease (MINOCA)Klever Geovanny Cárdenas Chacha0Yeseb Janira Vera Torres1Antonella Fanny Montenegro Villavicencio2Amilkar Suárez3Shirley Abigail López Baños4Universidad Técnica de Machala, Machala, El Oro, Ecuador.Hospital General Babahoyo: Babahoyo, Los Ríos , ECMáster Universitario en Prevención de Riesgos LaboralesHospital General del IESS Babahoyo; Universidad técnica de Babahoyo.Amavir Humanes, Humanes de Madrid, Madrid, EspañaIntroduction: Ischemic coronary artery disease is a common health problem that requires substantial resources from health care systems. The most common clinical phenotype has been obstructive atherosclerotic disease of the coronary arteries, which has now changed to the phenotype without coronary obstruction, MINOCA. Objective: To present the current status of diagnosis and treatment of myocardial infarction without obstructive coronary artery disease (MINOCA). Method: Information was sought in Pubmed, SciELO, LILACS, LIS and SCOPUS based on the descriptors: myocardial infarction, coronary artery disease, thromboembolism and myocarditis. A database was created with downloaded articles, which after being processed resulted in 26 references. Development: Acute myocardial infarction without obstructive coronary lesions (MINOCA) is a recently defined condition in cardiological practice. Its diagnosis is based on coronary angiography, which initiates an etiological search process that is often complex, but with prognostic and therapeutic importance. From all myocardial infarctions (MI), this one represents 6 to 8%; more frequent in young black women, who suffer Acute Coronary Syndrome without ST-segment elevation. Conclusions: Myocardial infarction without obstructive coronary artery disease (MINOCA), is associated with unconventional risk factors. It should be taken into account that a normal coronary angiogram or an angiogram showing non-obstructive disease does not mean that it is benign. Keywords: myocardial infarction, coronary artery disease, myocarditis, thromboembolismhttps://revcocmed.sld.cu/index.php/cocmed/article/view/5205
spellingShingle Klever Geovanny Cárdenas Chacha
Yeseb Janira Vera Torres
Antonella Fanny Montenegro Villavicencio
Amilkar Suárez
Shirley Abigail López Baños
Myocardial infarction without obstructive coronary artery disease (MINOCA)
Correo Científico Médico
title Myocardial infarction without obstructive coronary artery disease (MINOCA)
title_full Myocardial infarction without obstructive coronary artery disease (MINOCA)
title_fullStr Myocardial infarction without obstructive coronary artery disease (MINOCA)
title_full_unstemmed Myocardial infarction without obstructive coronary artery disease (MINOCA)
title_short Myocardial infarction without obstructive coronary artery disease (MINOCA)
title_sort myocardial infarction without obstructive coronary artery disease minoca
url https://revcocmed.sld.cu/index.php/cocmed/article/view/5205
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