Infarto agudo de miocardio sin enfermedad coronaria ateroesclerótica obstructiva: utilidad de las imágenes intravasculares y resonancia cardíaca en su diagnóstico

V., Pabla Cataldo; Verdugo, Fernando; Dauvergne, Christian; García, A. Barquilla; Antileo, Pablo; Monsalve, Rodrigo; Pineda, Fernando; Méndez, Manuel; Uriarte, Polentzi; H., Mario Araya; Llerena, Pedro; Nauhm, Yalile; Pereira, Gonzalo; Ramos, Cristóbal; V., Marco Coello; G., Christian Garrido; A., Tomas Delgado; González, Soledad; B., Jorge Sandoval

doi:10.4067/s0034-98872020000801083

Cited by 2 publications

(4 citation statements)

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“…Dada la alta heterogeneidad etiológica, Yoo y cols. en el año 2020 postularon el término "TP-NOCA" (Troponin-positive with non-obstructive coronary arteries), para darle un enfoque diagnóstico operacional incluyendo así causas isquémicas y no isquémicas 3 Hasta la fecha, existe sólo una experiencia reportada en nuestro país sobre las características clínicas y angiográficas de los pacientes con el diagnóstico de MINOCA 4 .…”

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Infarto Agudo al Miocardio con Arterias Coronarias sin Lesiones Obstructivas (MINOCA): Características clínicas de pacientes

Sanhueza,

Pérez,

Sepúlveda

et al. 2024

Rev Chil Cardiol

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Myocardial infarction without obstructive coronary artery disease: clinical characteristics in patients hospitalized in a coronary care unit Background: MINOCA (acronym for "Myocardial Infarction with Non-Obstructive Coronary Arteries") is relevant as a working guide in the diagnosis of patients with suspicion of ischemia and absence of obstructive coronary artery disease. Aim: to describe the different causes and clinical variables in patients with MINOCA admitted to a coronary care unit of a University hospital in Santiago, Chile.Methods: this is an observational retrospective analysis of relevant clinical variables in 55 patients finally diagnosed as having MINOCA. Use of image based studies and characteristics related to prognosis were also analyzed. Follow up extended for one year after the event.Results: 55 patients were included, 55% of them women. Mean age was 57 years; presence of traditional risk factors for myocardial infarction was low.The most common eventual etiologic diagnosis was Stress Cardiomyopathy (SCM) in which lower levels of ultrasensitive troponin and higher levels of NT-proBNP were observed. Mortality in SCM was higher than that observed in other etiologies. Conclusion:MINOCA was more frequent in post menopausal women. Mortality was greater in patients with SMC.

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Section: Introductionunclassified

Infarto Agudo al Miocardio con Arterias Coronarias sin Lesiones Obstructivas (MINOCA): Características clínicas de pacientes

Sanhueza,

Pérez,

Sepúlveda

et al. 2024

Rev Chil Cardiol

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“…Plaque rupture and late transmural enhancement occurred in 23% of apical ballooning. MINOCA was more common in people with low risk factors, multi-image studies had better diagnostic precision, and mortality was associated with disruption of plaques 3 .…”

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“…Dear Editor, Myocardial infarction with nonobstructive coronary arteries (MINOCA) is a condition characterized by acute myocardial infarction (AMI) without obstruction on coronary angiography studies. The diagnostic criteria for AMI are fulfilled, but at least half of the patients do not present with significant images of obstructive disease [1][2][3][4] . Recently, we read in this Journal the article by Grigoli and Viccechi about MINOCA 1 .…”

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confidence: 99%

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Myocardial Infarction Without Obstructive Coronary Disease: Role of Images

Santos

Modesto

2022

COLLOQ VITAE

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This manuscript about myocardial infarction with nonobstructive coronary arteries (MINOCA) based on published studies aims to enhance the awareness of primary health workers about this potentially serious condition that often poses diagnostic challenges. Two Brazilian, one Chilean, and one Turkish studies are commented on, and the role of imaging evaluations to establish the diagnosis is emphasized.

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Infarto agudo de miocardio sin enfermedad coronaria ateroesclerótica obstructiva: utilidad de las imágenes intravasculares y resonancia cardíaca en su diagnóstico

Cited by 2 publications

References 22 publications

Infarto Agudo al Miocardio con Arterias Coronarias sin Lesiones Obstructivas (MINOCA): Características clínicas de pacientes

Infarto Agudo al Miocardio con Arterias Coronarias sin Lesiones Obstructivas (MINOCA): Características clínicas de pacientes

Myocardial Infarction Without Obstructive Coronary Disease: Role of Images

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