ReviewRadiologie (Heidelberg, Germany)2022
[MINOCA-myocardial infarction with nonobstructive coronary arteries].
Review in Radiologie (Heidelberg, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundMyocardial infarction with nonobstructive coronary arteries (MINOCA) accounts for 5-10% of all presentations of acute myocardial infarction.
objectivesTo outline the role of cardiovascular magnetic resonance (CMR) in patients with suspected MINOCA. MATERIALS AND
methodsCurrent guidelines for the use of CMR in suspected MINOCA are summarized. Clinical cases with typical CMR findings are presented.
resultsIn 2019, the American Heart Association published a revised definition of the term MINOCA, which was recently adopted in the European Society of Cardiology 2020 guidelines on acute coronary syndromes without persistent ST-segment elevation (NSTE-ACS). The guidelines indicate that a CMR is recommended (class 1B) in all MINOCA cases with no obvious cause.
conclusionThe major strength of CMR imaging is to differentiate nonischemic from ischemic etiologies of myocardial injury. This makes CMR the most important noninvasive diagnostic tool for the differential diagnosis of patients with suspected MINOCA.
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