Evidence map›Paper›PMID 39161551›Full record

ArticleCureus2024

Myocardial Infarction With Non-obstructive Coronary Arteries (MINOCA): A Case Report and Comprehensive Discussion of Pathophysiology and Risk Factors.

Pawel Borkowski, Maisha Maliha, Michal Borkowski, Natalia Borkowska, Nikita Singh, Abhyuday Chauhan, Ishmum Chowdhury, Shreyas Yakkali, Vikyath Satish, Hansol Choi

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Pawel BorkowskiInternal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, USA.
Maisha MalihaInternal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, USA.
Michal BorkowskiMedicine, Private Practice, Wroclaw, POL.
Natalia BorkowskaPediatrics, Samodzielny Publiczny Zakład Opieki Zdrowotnej (SPZOZ), Krotoszyn, POL.
Nikita SinghInternal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, USA.
Abhyuday ChauhanInternal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, USA.
Ishmum ChowdhuryInternal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, USA.
Shreyas YakkaliInternal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, USA.
Vikyath SatishInternal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, USA.
Hansol ChoiInternal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myocardial infarction with non-obstructive coronary arteries (MINOCA) refers to the occurrence of myocardial infarction symptoms and signs despite angiographic findings showing normal or near-normal coronary arteries. Unlike the more commonly recognized myocardial infarction with coronary artery disease (MICAD), MINOCA often has a better prognosis; however, it is not without risk, as it is associated with increased mortality. We present a 72-year-old female who presented to the hospital with acute chest pain. Following a thorough diagnostic workup, including laboratory tests, left heart catheterization, and cardiac imaging, she was diagnosed with MINOCA. This case report provides a comprehensive review of the pathophysiological mechanisms underlying MINOCA, such as plaque disruption without significant stenosis, microvascular dysfunction, coronary artery spasm, coronary thrombosis or embolism, and spontaneous coronary artery dissection. Additionally, we explore the associated risk factors, highlighting the unconventional risk factors. MINOCA represents a diverse clinical condition with various causes and complex pathophysiology. The variability underscores the necessity for further research to deepen our understanding of this condition. Enhanced knowledge will lead to better diagnostic and treatment strategies, ultimately improving patient outcomes.

Indexed as

cardiac troponinmyocardial infarction with non-obstructive coronary arteries (minoca)non-obstructive coronary arteriespathophysiologyrisk factors

Identifiers

PMID39161551
PMCPMC11332960

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.