Islam Momin, Hennawi Hussam Al, Bakir Mohamad, Khedr Anwar, Goel Sachin S
Houston Methodist Hospital, Department of Cardiology, USA.
Department of Internal Medicine, Jefferson Abington Hospital, Abington, PA, USA.
Glob Cardiol Sci Pract. 2023 Jan 30;2023(1):e202301. doi: 10.21542/gcsp.2023.1.
Acute myocardial infarction without significant obstructive coronary disease presents a challenging clinical entity that requires timely intervention. The term myocardial infarction with nonobstructive coronary arteries (MINOCA) describes a working diagnosis attributed to varying etiologies in patients with a presumed ischemic cardiac condition. Several overlapping etiologies can be classified as type 2 myocardial infarction (MI). The 2019 AHA statement established diagnostic criteria and clarified the associated confusion, aiding in appropriate diagnosis. In this report, we present a case of demand-ischemia MINOCA and cardiogenic shock in a patient with severe aortic stenosis (AS).
无显著阻塞性冠状动脉疾病的急性心肌梗死是一种具有挑战性的临床病症，需要及时干预。非阻塞性冠状动脉心肌梗死（MINOCA）这一术语描述了一种工作诊断，归因于患有假定缺血性心脏病的患者的各种病因。几种重叠的病因可归类为2型心肌梗死（MI）。2019年美国心脏协会（AHA）声明制定了诊断标准并澄清了相关混淆，有助于进行适当诊断。在本报告中，我们介绍了一例严重主动脉瓣狭窄（AS）患者发生需求性缺血性MINOCA并伴有心源性休克的病例。
