Invasive coronary angiography (ICA) is the standard of care for the management of
patients with non-ST elevation myocardial infarction (NSTEMI) [
[1]
,
[2]
]. However, up to a third of patients do not undergo any form of revascularisation
following ICA [
[3]
] which includes patients with myocardial infarction with non-obstructive coronary
arteries (MINOCA), MINOCA mimics, such as myocarditis and stress cardiomyopathy or
type 2 myocardial infarction (MI). We therefore conducted a retrospective study to
determine the proportion of patients with a suspected diagnosis of NSTEMI who had
non-obstructive coronary arteries (NOCA) following ICA in a large volume tertiary
centre and the clinical predictors of NOCA.Keywords
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References
- 2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.J Am Coll Cardiol. 2014; 64: e139-e228
- 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation [Internet].Eur Heart J. 2021; 42 (Available from:): 1289-1367
Birkhead J, Weston C, Chen R. Determinants and outcomes of coronary angiography after non-ST-segment elevation myocardial infarction. A cohort study of the myocardial ischaemia national audit project (MINAP). Heart. 2009t;95(19):1593-9.
Article info
Publication history
Published online: April 29, 2022
Accepted:
March 28,
2022
Received in revised form:
March 8,
2022
Received:
December 15,
2021
Identification
Copyright
© 2022 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
