@article{10.11648/j.ccr.20210503.15,
  author = {Jie Chen and Wenjie Liang and Mei Wei and Mingqi Zheng and Gang Liu and Guoping Ma},
  title = {Myocardial Infarction with Non-obstructive Coronary Arteries (MINOCA): A Case Report and Review of the Literature},
  journal = {Cardiology and Cardiovascular Research},
  volume = {5},
  number = {3},
  pages = {153-156},
  doi = {10.11648/j.ccr.20210503.15},
  url = {https://doi.org/10.11648/j.ccr.20210503.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20210503.15},
  abstract = {Background: About 5-10% of all myocardial infarction patients undergoing diagnostic coronary angiography for typical chest pain have no significant coronary stenosis (stenosis severity Objective: To report a case of MINOCA, analyze its clinical manifestations, imaging and related treatment, and improve the understanding of clinicians on MINOCA. Methods: A case of MINOCA diagnosed in the First Hospital of Hebei Medical University on June 8, 2021 was retrospectively analyzed. Clinical data related to clinical manifestations, examination results, diagnosis and treatment process were collected, and literatures related to non-obstructive myocardial infarction were reviewed to summarize its diagnosis and treatment characteristics. Results: The patient was a 73-year-old male, who was admitted to hospital for 8 hours due to sudden precardiac pain. After admission, relevant preoperative examination was completed, and preoperative electrocardiogram (ECG) and troponin examination results were considered as acute inferior wall myocardial infarction, percutaneous coronary angiography showed no significant narrowing of the coronary vessels and was diagnosed as MINOCA. The patient regularly applied drugs outside the hospital and was generally in good condition. He did not go to the hospital again. Conclusion: 1. MINOCA accounts for 5-10% of all MI patients, and a higher proportion of MINOCA patients are female. 2. It was previously believed that MINOCA patients had a good prognosis, but the incidence of major adverse cardiovascular events was still high in clinical work. The pathogenesis of MINOCA is complex and diverse, and early drug intervention and secondary prevention targeting the etiology can improve the prognosis of patients. 3. The clinical manifestations and characteristics of MINOCA patients were summarized in this case, the possible pathogenesis and treatment, so as to improve the understanding of this disease, screen high-risk groups for early intervention, and reduce the risk of adverse cardiovascular events in these patients.},
 year = {2021}
}

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TY  - JOUR
T1  - Myocardial Infarction with Non-obstructive Coronary Arteries (MINOCA): A Case Report and Review of the Literature
AU  - Jie Chen
AU  - Wenjie Liang
AU  - Mei Wei
AU  - Mingqi Zheng
AU  - Gang Liu
AU  - Guoping Ma
Y1  - 2021/09/15
PY  - 2021
N1  - https://doi.org/10.11648/j.ccr.20210503.15
DO  - 10.11648/j.ccr.20210503.15
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 153
EP  - 156
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20210503.15
AB  - Background: About 5-10% of all myocardial infarction patients undergoing diagnostic coronary angiography for typical chest pain have no significant coronary stenosis (stenosis severity Objective: To report a case of MINOCA, analyze its clinical manifestations, imaging and related treatment, and improve the understanding of clinicians on MINOCA. Methods: A case of MINOCA diagnosed in the First Hospital of Hebei Medical University on June 8, 2021 was retrospectively analyzed. Clinical data related to clinical manifestations, examination results, diagnosis and treatment process were collected, and literatures related to non-obstructive myocardial infarction were reviewed to summarize its diagnosis and treatment characteristics. Results: The patient was a 73-year-old male, who was admitted to hospital for 8 hours due to sudden precardiac pain. After admission, relevant preoperative examination was completed, and preoperative electrocardiogram (ECG) and troponin examination results were considered as acute inferior wall myocardial infarction, percutaneous coronary angiography showed no significant narrowing of the coronary vessels and was diagnosed as MINOCA. The patient regularly applied drugs outside the hospital and was generally in good condition. He did not go to the hospital again. Conclusion: 1. MINOCA accounts for 5-10% of all MI patients, and a higher proportion of MINOCA patients are female. 2. It was previously believed that MINOCA patients had a good prognosis, but the incidence of major adverse cardiovascular events was still high in clinical work. The pathogenesis of MINOCA is complex and diverse, and early drug intervention and secondary prevention targeting the etiology can improve the prognosis of patients. 3. The clinical manifestations and characteristics of MINOCA patients were summarized in this case, the possible pathogenesis and treatment, so as to improve the understanding of this disease, screen high-risk groups for early intervention, and reduce the risk of adverse cardiovascular events in these patients.
VL  - 5
IS  - 3
ER  - 

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