Abstract
Myocardial infarction (MI) with non-obstructive coronary arteries (MINOCA), identified by clinical documentation of an acute MI without significant coronary artery obstruction (stenosis <50%) on coronary angiography, is an evolving area of cardiovascular medicine. MINOCA poses a substantial challenge as there remains uncertainty in valid clinical diagnostic criteria and treatment strategies. Unfortunately, those with this condition experience high rates of mortality, re-hospitalization, worse quality of life, and poor prognosis. Effective management currently aims at identifying the underlying mechanism of the infarction, which can be caused by a variety of factors. This review will discuss the latest in pathophysiology, diagnostic techniques, management and future research of patients with MINOCA.
Published Version
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