Arq Bras Cardiol: Imagem cardiovasc 2020; 33(4): 1-5
A Young Patient with Chest Pain: Going Beyond the Obvious
DOI: 10.47593/2675-312X/20203304eabc113
Abstract
Background
Myocardial infarction with nonobstructive coronary arteries (MINOCA) is diagnostically and therapeutically challenging for clinicians, as a large spectrum of causes may result in this clinical condition, multiple entities can mimic it, and there are relatively few evidence-based recommendations for its assessment.
Discussion
Accurate diagnosis of the underlying etiology of MINOCA requires a systematic and dynamic evaluation of the clinical history and work-up of each patient, as well as the use of additional diagnostic tools that allow more in-depth characterization of the cardiac anatomy and coronary function, such as cardiac magnetic resonance imaging, coronary vascular imaging (intravascular ultrasound, optical coherence tomography), and coronary functional assessments. The prognosis of MINOCA highly depends on its underlying cause, and therefore, an accurate diagnosis of its etiology is necessary.
Keywords: Antiphospholipid syndrome; Chest pain; Pulmonary embolism
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