Pathophysiology and diagnostic and therapeutic algorithm of MINOCA
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 exc...
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| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/36817 |
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I10-R327-article-368172023-07-10T12:03:20Z Pathophysiology and diagnostic and therapeutic algorithm of MINOCA Fisiopatología y algoritmo diagnóstico y terapéutico del MINOCA Fisiopatologia e algoritmo diagnóstico e terapêutico do MINOCA Ricarte-Bratti, Juan Pablo Bono, Julio Oscar Emilio Barcudi, Raul MINOCA myocardial infarction acute coronary syndrome MINOCA infarto de miocardio síndrome coronario agudo MINOCA infarto do miocárdio síndrome coronariana aguda 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. MINOCA es un síndrome que abarca varias patologías y que ocurre en el contexto clínico de un Síndrome Coronario Agudo. Su incidencia varía de acuerdo con la población estudiada, métodos de diagnósticos utilizados y si han incluido a la Miocarditis y Síndrome de Takotsubo, los cuáles, fueron excluidos recientemente de la definición de MINOCA. Por esta razón, consideramos que la novedad de esta publicación es la no inclusión de estas dos patologías y, por lo tanto, el objetivo de la presente revisión es actualizar este síndrome de forma concisa. También se aborda el manejo de los tres tipos de MINOCA, cuyo diagnóstico se basa fundamentalmente en la utilización de imágenes complementarias específicas, ya que la coronariografia tiene sus limitaciones. El tratamiento será en general farmacológico de acuerdo con el mecanismo fisiopatológico involucrado. MINOCA é uma síndrome que engloba diversas patologias e que ocorre no contexto clínico de uma Síndrome Coronariana Aguda. Sua incidência varia de acordo com a população estudada, os métodos diagnósticos utilizados e se incluem Miocardite e Síndrome de Takotsubo, que foram recentemente excluídas da definição do MINOCA. Por esse motivo, consideramos que a novidade desta publicação é a não inclusão dessas duas patologias e, portanto, o objetivo desta revisão é atualizar essa síndrome de forma concisa. Também é abordado o manejo dos três tipos de MINOCA, cujo diagnóstico é fundamentalmente baseado na utilização de imagens complementares específicas, uma vez que a cineangiocoronariografia tem suas limitações. O tratamento geralmente será farmacológico de acordo com o mecanismo fisiopatológico envolvido. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Texto text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/36817 10.31053/1853.0605.v80.n1.36817 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 No. 1 (2023); 36-42 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 Núm. 1 (2023); 36-42 Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 n. 1 (2023); 36-42 1853-0605 0014-6722 10.31053/1853.0605.v80.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/36817/40952 https://revistas.unc.edu.ar/index.php/med/article/view/36817/40953 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
| repository_str |
R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
MINOCA myocardial infarction acute coronary syndrome MINOCA infarto de miocardio síndrome coronario agudo MINOCA infarto do miocárdio síndrome coronariana aguda |
| spellingShingle |
MINOCA myocardial infarction acute coronary syndrome MINOCA infarto de miocardio síndrome coronario agudo MINOCA infarto do miocárdio síndrome coronariana aguda Ricarte-Bratti, Juan Pablo Bono, Julio Oscar Emilio Barcudi, Raul Pathophysiology and diagnostic and therapeutic algorithm of MINOCA |
| topic_facet |
MINOCA myocardial infarction acute coronary syndrome MINOCA infarto de miocardio síndrome coronario agudo MINOCA infarto do miocárdio síndrome coronariana aguda |
| author |
Ricarte-Bratti, Juan Pablo Bono, Julio Oscar Emilio Barcudi, Raul |
| author_facet |
Ricarte-Bratti, Juan Pablo Bono, Julio Oscar Emilio Barcudi, Raul |
| author_sort |
Ricarte-Bratti, Juan Pablo |
| title |
Pathophysiology and diagnostic and therapeutic algorithm of MINOCA |
| title_short |
Pathophysiology and diagnostic and therapeutic algorithm of MINOCA |
| title_full |
Pathophysiology and diagnostic and therapeutic algorithm of MINOCA |
| title_fullStr |
Pathophysiology and diagnostic and therapeutic algorithm of MINOCA |
| title_full_unstemmed |
Pathophysiology and diagnostic and therapeutic algorithm of MINOCA |
| title_sort |
pathophysiology and diagnostic and therapeutic algorithm of minoca |
| description |
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. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/36817 |
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