EMBOLIC MYOCARDIAL INFARCTION. EXPERIENCE IN DIAGNOSIS AND MANAGEMENT
Acute myocardial infarction (AMI) is one of the main causes of morbidity and mortality, both in the Russian Federation and around the world. Approximately, in up to 10% of patients with clinical diagnostic features of AMI, early angiography does not reveal an occluded vessel or possibly any evidence...
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| Format: | Article |
| Language: | English |
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Столичная издательская компания
2018-07-01
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| Series: | Рациональная фармакотерапия в кардиологии |
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| Online Access: | https://www.rpcardio.online/jour/article/view/1691 |
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| author | A. S. Shilova E. M. Gilyarova D. A. Andreev D. Yu. Shchekochikhin N. A. Novikova M. Yu. Gilyarov |
| author_facet | A. S. Shilova E. M. Gilyarova D. A. Andreev D. Yu. Shchekochikhin N. A. Novikova M. Yu. Gilyarov |
| author_sort | A. S. Shilova |
| collection | DOAJ |
| description | Acute myocardial infarction (AMI) is one of the main causes of morbidity and mortality, both in the Russian Federation and around the world. Approximately, in up to 10% of patients with clinical diagnostic features of AMI, early angiography does not reveal an occluded vessel or possibly any evidence of coronary artery disease. These patients constitute an intriguing subgroup referred to as “Myocardial Infarction with Non-Obstructive Coronary Arteries” (MINOCA). MINOCA is a collective concept that unites many different pathologies, which determines the essential heterogeneity of the etiological factors. Coronary artery embolism is recognized as an important non-atherosclerotic cause of AMI. In turn, the most common underlying disease in those with coronary embolism is the atrial fibrillation. The advantages of reperfusion strategy and cardioprotective therapy in the treatment of obstructive arteriosclerosis are well studied, widely presented in the literature and supported by a strong evidence base, while the issues of diagnosis and treatment of patients with MINOCA are currently widely discussed We present two clinical cases of embolic myocardial infarction in patients with atrial fibrillation, diagnosed in our clinic in 2017. |
| format | Article |
| id | doaj-art-da474fce19c344ac8749bf5b6df2e4a2 |
| institution | Kabale University |
| issn | 1819-6446 2225-3653 |
| language | English |
| publishDate | 2018-07-01 |
| publisher | Столичная издательская компания |
| record_format | Article |
| series | Рациональная фармакотерапия в кардиологии |
| spelling | doaj-art-da474fce19c344ac8749bf5b6df2e4a22025-08-23T10:00:29ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532018-07-0114336136910.20996/1819-6446-2018-14-3-361-3691483EMBOLIC MYOCARDIAL INFARCTION. EXPERIENCE IN DIAGNOSIS AND MANAGEMENTA. S. Shilova0E. M. Gilyarova1D. A. Andreev2D. Yu. Shchekochikhin3N. A. Novikova4M. Yu. Gilyarov5City Clinical Hospital №1 named after N.I. Pirogov; Pirogov Russian National Research Medical UniversityI.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)City Clinical Hospital №1 named after N.I. Pirogov; I.M. Sechenov First Moscow State Medical University (Sechenov University)Acute myocardial infarction (AMI) is one of the main causes of morbidity and mortality, both in the Russian Federation and around the world. Approximately, in up to 10% of patients with clinical diagnostic features of AMI, early angiography does not reveal an occluded vessel or possibly any evidence of coronary artery disease. These patients constitute an intriguing subgroup referred to as “Myocardial Infarction with Non-Obstructive Coronary Arteries” (MINOCA). MINOCA is a collective concept that unites many different pathologies, which determines the essential heterogeneity of the etiological factors. Coronary artery embolism is recognized as an important non-atherosclerotic cause of AMI. In turn, the most common underlying disease in those with coronary embolism is the atrial fibrillation. The advantages of reperfusion strategy and cardioprotective therapy in the treatment of obstructive arteriosclerosis are well studied, widely presented in the literature and supported by a strong evidence base, while the issues of diagnosis and treatment of patients with MINOCA are currently widely discussed We present two clinical cases of embolic myocardial infarction in patients with atrial fibrillation, diagnosed in our clinic in 2017.https://www.rpcardio.online/jour/article/view/1691myocardial infarctionmyocardial infarction with non-obstructive coronary arteriesatrial fibrillationcoronary embolism |
| spellingShingle | A. S. Shilova E. M. Gilyarova D. A. Andreev D. Yu. Shchekochikhin N. A. Novikova M. Yu. Gilyarov EMBOLIC MYOCARDIAL INFARCTION. EXPERIENCE IN DIAGNOSIS AND MANAGEMENT Рациональная фармакотерапия в кардиологии myocardial infarction myocardial infarction with non-obstructive coronary arteries atrial fibrillation coronary embolism |
| title | EMBOLIC MYOCARDIAL INFARCTION. EXPERIENCE IN DIAGNOSIS AND MANAGEMENT |
| title_full | EMBOLIC MYOCARDIAL INFARCTION. EXPERIENCE IN DIAGNOSIS AND MANAGEMENT |
| title_fullStr | EMBOLIC MYOCARDIAL INFARCTION. EXPERIENCE IN DIAGNOSIS AND MANAGEMENT |
| title_full_unstemmed | EMBOLIC MYOCARDIAL INFARCTION. EXPERIENCE IN DIAGNOSIS AND MANAGEMENT |
| title_short | EMBOLIC MYOCARDIAL INFARCTION. EXPERIENCE IN DIAGNOSIS AND MANAGEMENT |
| title_sort | embolic myocardial infarction experience in diagnosis and management |
| topic | myocardial infarction myocardial infarction with non-obstructive coronary arteries atrial fibrillation coronary embolism |
| url | https://www.rpcardio.online/jour/article/view/1691 |
| work_keys_str_mv | AT asshilova embolicmyocardialinfarctionexperienceindiagnosisandmanagement AT emgilyarova embolicmyocardialinfarctionexperienceindiagnosisandmanagement AT daandreev embolicmyocardialinfarctionexperienceindiagnosisandmanagement AT dyushchekochikhin embolicmyocardialinfarctionexperienceindiagnosisandmanagement AT nanovikova embolicmyocardialinfarctionexperienceindiagnosisandmanagement AT myugilyarov embolicmyocardialinfarctionexperienceindiagnosisandmanagement |