ArticleJournal of anesthesia and translational medicine2025
Myocardial infarction with non-obstructive coronary arteries in a patient undergoing nephrectomy under general anesthesia.
Article in Journal of anesthesia and translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Myocardial infarction with non-obstructive coronary arteries (MINOCA) is an uncommon but clinically significant condition, particularly during the perioperative period. Its diagnosis is challenging under general anesthesia due to nonspecific signs and limited patient communication. However, few cases of perioperative MINOCA have been reported to date, and clinical awareness remains limited. Case presentation: A 56-year-old living-related kidney donor with no history of cardiovascular disease was scheduled to undergo nephrectomy under general anesthesia. The induction of anesthesia was uneventful. Electrocardiography (ECG) monitoring demonstratedF the presence of ST-segment elevation approximately 90 min after the start of the surgery. The heart rate (HR) was increased to 90-100 bpm, and despite the administration of a large dose of catecholamines, it remained difficult to maintain the systolic arterial blood pressure (ABP) over 90 mmHg. The patient was transferred to the intensive care unit (ICU) at the end of the surgery. Standard 12-lead ECG revealed aST-segment depression in v1-v4. Moreover, the cardiac troponin I (cTnI) and N-terminal pro-brain natriuretic peptide (NT-proBNP) levels had increased to critical values. Emergency coronary angiography revealed 40 % stenosis in the opening and proximal regions of the left anterior descending (LAD) artery; no stenosis was observed in the other branches of the coronary arteries. After ruling out perioperative anaphylaxis, hypovolemia, and pulmonary embolism, the patient was diagnosed with MINOCA intraoperatively. The patient was extubated 24 h postoperatively under stable hemodynamic conditions. The cTnI and NT-proBNP levels were also restored to the normal range nine days after the operation. Conclusions: Diagnosis of MINOCA indicates that an ischemic mechanism is responsible for the myocyte injury; however, its causes are complex and occult. Hemodynamics and ECG findings should be closely monitored intraoperatively as they play a crucial role in the early diagnosis of MINOCA. Prompt diagnosis and management may limit myocardial damage and improve outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.