Evidence map›Paper›PMID 40638468›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2025

Identification of risk factors in myocardial infarction with non-obstructive coronary arteries.

Aydın Dursun, Hakan Guven, Mehmet Cem Basel, Mustafa Selcuk Atasoy, Ahmet Yuksel

Abstract read
In one paragraph

Article in Revista da Associacao Medica Brasileira (1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Aydın DursunMudanya University, VM Medical Park Hospital, Department of Cardiology - Bursa, Türkiye.ORCID http://orcid.org/0000-0003-2792-7685
Hakan GuvenMudanya University, VM Medical Park Hospital, Department of Cardiovascular Surgery - Bursa, Türkiye.ORCID http://orcid.org/0000-0001-6326-663X
Mehmet Cem BaselMudanya University, VM Medical Park Hospital, Department of Cardiology - Bursa, Türkiye.ORCID http://orcid.org/0000-0002-5077-0527
Mustafa Selcuk AtasoyUniversity of Health Sciences, Bursa City Hospital, Bursa Faculty of Medicine, Department of Cardiovascular Surgery - Bursa, Türkiye.ORCID http://orcid.org/0009-0009-3321-7170
Ahmet YukselUniversity of Health Sciences, Bursa City Hospital, Bursa Faculty of Medicine, Department of Cardiovascular Surgery - Bursa, Türkiye.ORCID http://orcid.org/0000-0001-6529-4845

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to identify the risk factors and potential causes of myocardial infarction with non-obstructive coronary arteries in patients presenting with acute coronary syndrome.

methodsThis retrospective case series study was conducted at the coronary intensive care unit of our hospital between January 2019 and December 2023. Of 3,107 acute coronary syndrome patients, 195 diagnosed with myocardial infarction with non-obstructive coronary arteries were included. Clinical characteristics, risk factors, laboratory test results, and electrocardiographic, echocardiographic, and coronary angiography findings were analyzed. Additionally, vitamin D, homocysteine, folate, and vitamin B12 levels were compared between myocardial infarction with non-obstructive coronary arteries patients and controls with non-occlusive coronary artery disease without acute coronary syndrome.

resultsAmong a total of 3,107 acute coronary syndrome patients, 195 (6.28%) were diagnosed with myocardial infarction with non-obstructive coronary arteries. Their mean age was 53.9 years, and 83% of the patients were male. Hypertension (45%), diabetes mellitus (33%), and smoking (70%) were prominent risk factors. Myocardial bridge was the most common cause of myocardial infarction with non-obstructive coronary arteries (11.2%). The left anterior descending artery was the most frequent single vessel responsible for acute coronary syndrome (26%). Vitamin D, B12, and folate levels were statistically significantly lower in myocardial infarction with non-obstructive coronary arteries patients compared to controls (p<0.05).

conclusionsSmoking and hypertension were prominent risk factors for myocardial infarction with non-obstructive coronary arteries. Myocardial bridge was the most commonly identified cause, and vitamin D deficiency was significantly associated with myocardial infarction with non-obstructive coronary arteries.

Indexed as

Acute Coronary SyndromeCoronary Artery DiseaseCoronary VesselsMyocardial InfarctionAdultAgedCase-Control StudiesCoronary AngiographyElectrocardiographyFemaleHumansMaleMiddle AgedRetrospective StudiesRisk Factors

Identifiers

PMID40638468
PMCPMC12245100

What Socratic holds

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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.