UPDATED DIAGNOSIS AND TREATMENT OF MYOCARDIAL INFARCTION WITH NON-OBSTRUCTIVE CORONARY ARTERIES (MINOCA)
Main Article Content
Abstract
The pathogenesis of coronary artery disease is known to be due to atherosclerotic plaques in the coronary artery, the development of atherosclerotic plaques causes chronic coronary artery disease or stable angina, the rupture of atherosclerotic plaques causes unstable angina, If a thrombus forms and blocks the microvessels causing a non-ST elevation MI, the thrombus completely blocks an artery causing an ST elevation MI corresponding to the area that that artery perfuses. Previously, MI due to coronary artery spasm, Prinzmental angina, type 2 MI... have received attention from many authors, but myocardial infarction without coronary artery occlusion is still a mystery that has not appeared in the medical literature. In the past few years, many interventional clinicians have noticed that there are many cases of ST-elevation MI but no coronary artery damage on angiography. Many studies have been published but until the 2017 ESC Guidelines and the recommendations of the Vietnam Heart Association 2018 on acute ST-elevation myocardial infarction, the term non-obstructive coronary artery myocardial infarction was officially defined with the phrase MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries). MINOCA is one of 10 new points in this ESC's Guidelines.
Article Details
Keywords
MINOCA, Non-obstructive coronary artery myocardial infarction, Buon Ma Thuot Medical University Hospital
References
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