Myocardial infarction with non-obstructive coronaryartery(MINOCA) diseaserepresents a heterogeneous clinical conundrum accounting for about 6% of all acute myocardial infarction (MI) cases. Initially believed to be a benign condition, is now becoming clear that MINOCA is associated with a non-negligible risk of mortality, rehospitalization, disability and angina burden at follow-up, with high socioeconomic costs. To date, there are no prospective clinical trials in this population and cannot be assumed that benefits observed in patients suffering from MI with obstructive coronary artery disease maysuccessfully translate to this syndrome. Herein, we comment on the importance of the multimodality assessment to properly identify and treat the specific causes of MINOCA, in order to improve prognosis and the qualityof life in these patients.

Diagnostic work-up and therapeutic implications in MINOCA: need for a personalized approach / Del Buono, Marco Giuseppe; Montone, Rocco Antonio; Iannaccone, Giulia; Meucci, Maria Chiara; Rinaldi, Riccardo; D'Amario, Domenico; Niccoli, Giampaolo. - In: FUTURE CARDIOLOGY. - ISSN 1479-6678. - 17:1(2021), pp. 149-154. [10.2217/fca-2020-0052]

Diagnostic work-up and therapeutic implications in MINOCA: need for a personalized approach

Niccoli, Giampaolo
2021-01-01

Abstract

Myocardial infarction with non-obstructive coronaryartery(MINOCA) diseaserepresents a heterogeneous clinical conundrum accounting for about 6% of all acute myocardial infarction (MI) cases. Initially believed to be a benign condition, is now becoming clear that MINOCA is associated with a non-negligible risk of mortality, rehospitalization, disability and angina burden at follow-up, with high socioeconomic costs. To date, there are no prospective clinical trials in this population and cannot be assumed that benefits observed in patients suffering from MI with obstructive coronary artery disease maysuccessfully translate to this syndrome. Herein, we comment on the importance of the multimodality assessment to properly identify and treat the specific causes of MINOCA, in order to improve prognosis and the qualityof life in these patients.
2021
Diagnostic work-up and therapeutic implications in MINOCA: need for a personalized approach / Del Buono, Marco Giuseppe; Montone, Rocco Antonio; Iannaccone, Giulia; Meucci, Maria Chiara; Rinaldi, Riccardo; D'Amario, Domenico; Niccoli, Giampaolo. - In: FUTURE CARDIOLOGY. - ISSN 1479-6678. - 17:1(2021), pp. 149-154. [10.2217/fca-2020-0052]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2885166
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