Abstract

Myocardial Infarction with non-Obstructive Coronary Arteries (MINOCA) is the final diagnosis in 6-10% of all acute coronary syndromes (ACS). It is mostly present in female individuals. MINOCA was defined by the European Society of Cardiology (ESC) in 2017, and the Fourth Universal Definition of Myocardial Infarction (2018) further reinforced this concept. , Dreyer et al., analyzing Medicare data in the United States, determined an incidence for MINOCA of 5.9%. Lower rates of one-year MACE (1.7% vs 27.6%), mortality (12.3% vs [...]

Highlights

  • Escola Bahiana de Medicina e Saúde Pública,[1] Salvador, BA - Brazil Instituto D’or de Pesquisa e Ensino (IDOR), Hospital Cárdio Pulmonar,[2] Salvador, BA - Brazil Editorial referring to the article: Acute Myocardial Infarction with Non-Obstructive Coronary Arteries – Stratifying the Risk of a “new” Clinical Entity using an “Old” Tool

  • Myocardial Infarction with non-Obstructive Coronary Arteries (MINOCA) was defined by the European Society of Cardiology (ESC) in 2017, and the Fourth Universal Definition of Myocardial Infarction (2018) further reinforced this concept.[1,2]

  • Lower rates of one-year MACE (1.7% vs 27.6%), mortality (12.3% vs 16.7%) and re-hospitalization for acute coronary syndromes (ACS) (1.3% vs 6.1%) were observed in MINOCA compared with ACS with coronary obstruction

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Summary

Introduction

Escola Bahiana de Medicina e Saúde Pública,[1] Salvador, BA - Brazil Instituto D’or de Pesquisa e Ensino (IDOR), Hospital Cárdio Pulmonar,[2] Salvador, BA - Brazil Editorial referring to the article: Acute Myocardial Infarction with Non-Obstructive Coronary Arteries – Stratifying the Risk of a “new” Clinical Entity using an “Old” Tool. Myocardial Infarction with non-Obstructive Coronary Arteries (MINOCA) is the final diagnosis in 6-10% of all acute coronary syndromes (ACS). Lower rates of one-year MACE (1.7% vs 27.6%), mortality (12.3% vs 16.7%) and re-hospitalization for ACS (1.3% vs 6.1%) were observed in MINOCA compared with ACS with coronary obstruction.

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