Do Patients with Myocardial Infarction with Non-Obstructive Coronary Arteries Have Similar Prognosis Compared to Ones with MI-CAD?

Author:

Jia Fang1ORCID,Fei Si-Fan1,Tong De-Bing1,Zhang Sheng1,Li Jian-Jun2

Affiliation:

1. Department of Cardiology, The Third Affiliated Hospital of Soochow University, Changzhou, China

2. Cardio-Metabolic Center, Fu Wai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China

Abstract

Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality worldwide and it is primarily caused by acute plaque disruption and coronary occlusion. Recent studies suggest that myocardial infarction with non-obstructive coronary arteries (MINOCA) also occurs but the underlying mechanisms have not been fully understood until recently. The evidence also suggests that the clinical outcomes of patients presenting with MINOCA are similar to AMI patients with obstructive coronary artery disease (MI-CAD), including all-cause mortality and major adverse cardiovascular events. The present narrative review considers the risk factors, pathological changes, and outcomes associated with MINOCA and compares them with MI-CAD.

Funder

Changzhou Science and Technology Bureau

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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