The What, When, Who, Why, How and Where of Myocardial Infarction With Non-Obstructive Coronary Arteries (MINOCA)

Sivabaskari Pasupathy; Rosanna Tavella; John F. Beltrame

doi:10.1253/circj.CJ-15-1096

This article has now been updated. Please use the final version.

The What, When, Who, Why, How and Where of Myocardial Infarction With Non-Obstructive Coronary Arteries (MINOCA)

Sivabaskari Pasupathy, Rosanna Tavella, John F. Beltrame

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Keywords: Coronary angiography, Coronary artery disease, Coronary spasm, MINOCA, Myocardial infarction

JOURNAL FREE ACCESS FULL-TEXT HTML Advance online publication

Article ID: CJ-15-1096

DOI https://doi.org/10.1253/circj.CJ-15-1096

The final version of this article is now available: Vol. 80 (2015), No. 1 pp. 11-16

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Abstract

Myocardial infarction with non-obstructive coronary arteries (MINOCA) is an intriguing clinical entity that is being increasingly recognized with the more common use of coronary angiography during acute myocardial infarction. This review systematically addresses the contemporary understanding of MINOCA, including, (1) what are the diagnostic criteria, (2) when the diagnosis should be considered, (3) who is at risk, (4) why this new syndrome should be diagnosed, (5) how these patients should be managed, and (6) where to next?

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