MINOCA: Diagnostic work-up, risk stratification and tailored therapies

Vascul Pharmacol. 2023 Nov 14:107243. doi: 10.1016/j.vph.2023.107243. Online ahead of print.ABSTRACTMyocardial infarction with no obstructive coronary artery disease (MINOCA) diagnostic work-up, risk stratification and tailored therapies are emerging as the recognition of this type of MI is increasingly recognized. Diagnostic workup using advanced imaging can include coronary angiography/intravascular ultrasound (IVUS)/optical coherent tomography (OCT), echo and cardiac magnetic resonance imaging (MRI). Risk stratification portends an intermediate risk compared to multivessel obstructive coronary artery disease (CAD). While event rates are high enough to warrant concern, they are relatively low enough to require trials with large sample sizes and hard outcomes. Tailored therapies include common sense therapeutic lifestyle change (TLC) and optimal medical therapy (OMT) due to the high prevalence of non-obstructive CAD, however therapeutic clinical trials are needed. Currently one large outcome trial in ischemia with no obstructive coronary artery disease (INOCA) is ongoing.PMID:37972700 | DOI:10.1016/j.vph.2023.107243
Source: Vascular Pharmacology - Category: Drugs & Pharmacology Authors: Source Type: research