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The Imaging Toolbox to Assess Patients with Suspected Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease (MINOCA)

Authors
  • Talebi, Soheila1
  • Moreno, Pedro1
  • Dominguez, Abel Casso2
  • Tamis-Holland, Jacqueline E.1
  • 1 Icahn School of Medicine at Mount Sinai, New York, NY, USA , New York (United States)
  • 2 Harvard Medical School, Boston, MA, USA , Boston (United States)
Type
Published Article
Journal
Current Cardiology Reports
Publisher
Springer-Verlag
Publication Date
Sep 10, 2020
Volume
22
Issue
11
Identifiers
DOI: 10.1007/s11886-020-01379-x
Source
Springer Nature
Keywords
License
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Abstract

Purpose of ReviewThis paper will review myocardial infarction with non-obstructive coronary arteries (MINOCAs) briefly, and then focus on the imaging tools that should be employed when caring for patients with suspected MINOCA.Recent FindingsDiagnostic imaging has a critical role in assessing patients with suspected or confirmed MINOCA. The extent at which these diagnostic tests are used in any given patient will depend on the clinical acumen for the underlying condition, as well as the available resources.SummaryThere are myriad conditions that can lead to MINOCA; further testing to exclude other underlying causes of myocardial injury is crucial. Cardiovascular imaging may assist in identifying the etiological cause in cases where MINOCA remains the most likely diagnosis. A systematic approach to the diagnostic assessment will help to uncover the underlying diagnosis, guide therapy, and provide the patient and their families with appropriate feedback.

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