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MINOCA: The caveat of absence of coronary obstruction in myocardial infarction

Authors :
Nousjka P.A. Vranken
Tobias F.S. Pustjens
Evelien Kolkman
Renicus S. Hermanides
Sebastiaan C.A.M. Bekkers
Martijn W. Smulders
Yvonne J.M. van Cauteren
Jordi Heijman
Saman Rasoul
Jan P. Ottervanger
Arnoud W.J. van 't Hof
Source :
International Journal of Cardiology: Heart & Vasculature, Vol 29, Iss , Pp 100572- (2020)
Publication Year :
2020
Publisher :
Elsevier, 2020.

Abstract

Aims: Whether patients with MINOCA (myocardial infarction with non-obstructive coronary arteries) have better outcomes than patients with obstructive coronary artery disease remains contradictory. The current study focussed on the clinical profile and prognosis of MINOCA patients. Methods and results: We performed a retrospective analysis of patients with acute coronary syndrome (ACS) admitted to the Isala hospital in Zwolle, the Netherlands, between 2006 and 2014. A total of 7693 patients were categorized into three groups: MINOCA, single-vessel obstructive ACS (SV-ACS), and multi-vessel obstructive ACS (MV-ACS). MINOCA patients (5.2% of the total population) were more likely to be female (51.5% vs. 30.3% and 26.0% in SV-ACS and MV-ACS, respectively, p

Details

Language :
English
ISSN :
23529067
Volume :
29
Issue :
100572-
Database :
Directory of Open Access Journals
Journal :
International Journal of Cardiology: Heart & Vasculature
Publication Type :
Academic Journal
Accession number :
edsdoj.0421e2059174c6eb0bce74900ab8fc3
Document Type :
article
Full Text :
https://doi.org/10.1016/j.ijcha.2020.100572