How Can You Have a Myocardial Infarction Without Significant Coronary Artery Disease? Whither MINOCA

John F. Beltrame, Sivabaskari Pasupathy, Rosanna Tavella, Harvey D. White

Research output: Contribution to journalEditorial

2 Citations (Scopus)

Abstract

This may seem a simple question that a medical student might ask on a ward round but, like all fundamental questions, the answer is much more complex. Indeed, the attending cardiologist on the ward round may respond with (a) it's not a myocardial infarction (MI); (b) it's missed obstructive coronary artery disease (CAD); (c) minor atherosclerotic CAD is responsible; (d) non-atherosclerotic mechanisms such as spasm are involved; or, (e) I am not certain, since we need more research! Even more disquieting is what the patient is told and the formal diagnosis included in the discharge letter, since both will have an important impact on patient care.
Original languageEnglish
Pages (from-to)649-651
Number of pages3
JournalHeart Lung and Circulation
Volume27
Issue number6
Early online date26 Apr 2018
DOIs
Publication statusPublished - Jun 2018
Externally publishedYes

Keywords

  • Coronary circulation
  • Coronary microcirculation
  • Coronary spasm
  • Myocardial infarction
  • Tako-tsubo cardiomyopathy

Fingerprint

Dive into the research topics of 'How Can You Have a Myocardial Infarction Without Significant Coronary Artery Disease? Whither MINOCA'. Together they form a unique fingerprint.

Cite this