Ricarte-Bratti Juan Pablo, Bono Julio Oscar Emilio, Barcudi Raul
Universidad Nacional de Córdoba.
Sanatorio Allende.
Rev Fac Cien Med Univ Nac Cordoba. 2023 Mar 31;80(1):36-42. doi: 10.31053/1853.0605.v80.n1.36817.
MINOCA is a syndrome that encompasses several pathologies and occurs in the clinical context of an Acute Coronary Syndrome. Its incidence varies according to the population studied, the diagnostic methods used and whether they have included Myocarditis and Takotsubo Syndrome, which were recently excluded from the definition of MINOCA. For this reason, we consider that the novelty of this publication is the non-inclusion of these two pathologies and, therefore, the objective of this review is to update this syndrome concisely. The management of the three types of MINOCA is also addressed, whose diagnosis is mainly based in using specific complementary images, since coronary angiography has its limitations. Treatment will generally be pharmacological according to the pathophysiological mechanism involved.
心肌梗死伴非阻塞性冠状动脉病变（MINOCA）是一种包含多种病理情况的综合征，发生于急性冠状动脉综合征的临床背景下。其发病率因所研究的人群、使用的诊断方法以及是否纳入心肌炎和应激性心肌病（最近已从MINOCA的定义中排除）而有所不同。因此，我们认为本出版物的新颖之处在于未纳入这两种病理情况，所以本综述的目的是简要更新这一综合征。还讨论了三种类型的MINOCA的管理，其诊断主要基于使用特定的辅助影像，因为冠状动脉造影有其局限性。治疗通常会根据所涉及的病理生理机制采用药物治疗。
