Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease

Published: March 27, 2019

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  • Myocardial infarction in the absence of obstructive coronary artery disease (MINOCA) is seen in about 5-6% of all patients with myocardial infarction (MI) who are examined by coronary angiography.
  • Many causes can contribute to MINOCA, proper patient diagnosis and evaluation is needed to discover the actual cause and initiate cause-based therapies.
  • This statement updates the definition of MINOCA using elements of the Fourth Universal Definition of Myocardial Infarction.