Cohen Arazi Hernán, Iglesias Ricardo, Duronto Ernesto, Lescano Adrián, Campisi Roxana, Deviggiano Alejandro, Caroli Christian, Nani Sebastián, Mariani Javier, Comtesse Daniel, Zanotti Silvia, Kaski Juan Carlos
Servicio de Cardiología, Sanatorio Trinidad Mitre, Argentina. E-mail:
Servicio de Cardiología, Centro Médico Lezica, Argentina.
Medicina (B Aires). 2020;80(3):253-270.
One in every four coronarographies performed to study myocardial ischemia shows coronary angiographic stenosis less than 50%. This data triggered an increasing interest in the medical community. The American Society of Cardiology recently published a position paper about the pathophysiology, diagnosis and treatment of this entity. Our group performed a narrative review reflecting the opinion of cardiology experts from different centers in Argentina. It aims physiopatologic and diagnostic aspect to understand the current approach in patients with MINOCA (myocardial infarction with non-obstructive coronary arteries) e INOCA (demonstrated angina and ischemia but without coronary lesions that justify this syndrome).
为研究心肌缺血而进行的冠状动脉造影检查中,每四项就有一项显示冠状动脉造影狭窄小于50%。这一数据引发了医学界越来越浓厚的兴趣。美国心脏病学会最近发表了一篇关于该病症的病理生理学、诊断和治疗的立场文件。我们小组进行了一项叙述性综述,反映了阿根廷不同中心心脏病专家的意见。其目的在于从生理病理学和诊断方面去理解目前对患有心肌梗死伴非阻塞性冠状动脉(MINOCA)和缺血但无冠状动脉病变可解释该综合征(INOCA)患者的治疗方法。