Evidence map›Paper›PMID 36983267›Full record

ArticleJournal of clinical medicine2023

Characteristics and Prognosis of a Contemporary Cohort with Myocardial Infarction with Non-Obstructed Coronary Arteries (MINOCA) Presenting Different Patterns of Late Gadolinium Enhancements in Cardiac Magnetic Resonance Imaging.

Valentina Bucciarelli, Francesco Bianco, Alessia Di Francesco, Piergiusto Vitulli, Annaclara Biasi, Martina Primavera, Sara Belleggia, Giuseppe Ciliberti, Federico Guerra, Jelena Seferovic and 2 more

Open access · goldFull text read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Valentina BucciarelliCardiovascular Sciences Department-AOU "Ospedali Riuniti", 60126 Ancona, Italy.ORCID 0000-0002-7003-6194
Francesco BiancoCardiovascular Sciences Department-AOU "Ospedali Riuniti", 60126 Ancona, Italy.ORCID 0000-0001-9785-3402
Alessia Di FrancescoDepartment of Neurosciences, Imaging and Clinical Sciences, Gabriele d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.
Piergiusto VitulliDepartment of Neurosciences, Imaging and Clinical Sciences, Gabriele d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.
Annaclara BiasiDepartment of Neurosciences, Imaging and Clinical Sciences, Gabriele d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.
Martina PrimaveraDepartment of Neurosciences, Imaging and Clinical Sciences, Gabriele d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.
Sara BelleggiaCardiology and Arrhythmology Clinic, University Hospital "Umberto I-Lancisi-Salesi", Marche Polytechnic University, 60123 Ancona, Italy.
Giuseppe CilibertiCardiology and Arrhythmology Clinic, University Hospital "Umberto I-Lancisi-Salesi", Marche Polytechnic University, 60123 Ancona, Italy.ORCID 0000-0001-8698-5848
Federico GuerraCardiology and Arrhythmology Clinic, University Hospital "Umberto I-Lancisi-Salesi", Marche Polytechnic University, 60123 Ancona, Italy.ORCID 0000-0001-5394-1312
Jelena SeferovicCardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Antonio Dello RussoCardiology and Arrhythmology Clinic, University Hospital "Umberto I-Lancisi-Salesi", Marche Polytechnic University, 60123 Ancona, Italy.
Sabina GallinaDepartment of Neurosciences, Imaging and Clinical Sciences, Gabriele d'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0003-0263-4851
University of Chieti-Pescara · ITMarche Polytechnic University · ITBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo analyze the characteristics and prognosis of a contemporary cohort of patients with myocardial infarction with non-obstructed coronaries (MINOCA) were referred for cardiac magnetic resonance (CMR) imaging, focusing on late gadolinium enhancement (LGE) patterns.

methodsWe retrospectively examined and prospectively followed up with 135 patients (49 ± 21 years old, 48% female) undergoing CMR imaging due to a MINOCA diagnosis from 2014 to 2016. We grouped and analyzed the sample according to ischemic (focal or transmural) and non-ischemic LGE patterns. The primary outcome was cardiac-related death; the secondary outcome was a composite of cardiac-related rehospitalizations, the new occurrence of acute myocardial infarction (AMI), heart failure (HF), or arrhythmias.

resultsCMR exams were performed after a median of 28 days from the acute event. One-third of the ischemic MINOCA were first managed as myocarditis, while CMR helped to adopt a different therapy regimen in 22% of patients (30/135). After a median follow-up of 2.3 years, more cardiac-related deaths occurred in the ischemic than non-ischemic group (2 vs. 1,

conclusionsIn a contemporary cohort of MINOCA patients who underwent CMR, ischemic and non-ischemic patterns had distinct features and outcomes. Among the MINOCA patients, CMR can identify patients at higher risk who require more aggressive therapeutic approached and strict follow-up.

Indexed as

cardiac magnetic resonance imaginglate gadolinium enhancement patternsmyocardial infarction with non-obstructed coronaries (MINOCA)myocarditis

Identifiers

PMID36983267
PMCPMC10051168
OpenAlexW4324383458

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.