1. Coronary artery thromboembolism as a cause of myocardial infarction with non-obstructive coronary arteries (MINOCA).
- Author
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Ceasovschih A, Mantzouranis E, Dimitriadis K, Sorodoc V, Vlachakis PK, Karanikola AE, Theofilis P, Koutsopoulos G, Drogkaris S, Andrikou I, Valatsou A, Lazaros G, Sorodoc L, and Tsioufis K
- Subjects
- Humans, Thromboembolism etiology, Myocardial Infarction complications, Myocardial Infarction etiology, Myocardial Infarction diagnosis, Computed Tomography Angiography methods, MINOCA complications, Coronary Artery Disease complications, Coronary Artery Disease diagnosis, Coronary Artery Disease physiopathology, Coronary Angiography methods, Coronary Vessels diagnostic imaging
- Abstract
Acute myocardial infarction (AMI) usually represents the clinical manifestation of atherothrombotic coronary artery disease (CAD) resulting from atherosclerotic plaque rupture. However, there are cases in which coronary angiography or coronary computed tomography angiography reveals patients with acute coronary syndrome with non-obstructive CAD. This clinical entity is defined as myocardial infarction with non-obstructive coronary arteries (MINOCA) and often considered as a clinical dynamic working diagnosis that needs further investigations for the establishment of a final etiologic diagnosis. The main causes of a MINOCA working diagnosis include atherosclerotic, non-atherosclerotic (vessel-related and non-vessel-related), and thromboembolic causes This literature review aimed to investigate the major thromboembolic causes in patients presenting with MINOCA regarding their etiology and pathophysiologic mechanisms, as well as diagnostic and treatment methods., (Copyright © 2024 Hellenic Society of Cardiology. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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