Evidence mapPaperPMID 41659080Full record

ArticleReviews in cardiovascular medicine2026

Association Between Plasma Fibrinogen Level and the Risk of Myocardial Infarction With Non-Obstructive Coronary Arteries: A Retrospective Observational Study.

Di Li, Zongpeng Jing, Jijun Ding, Zongqian Xue

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Article in Reviews in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Di LiDepartment of Cardiology, Aoyang Hospital Affiliated to Jiangsu University, 215600 Zhangjiagang, Jiangsu, China.
Zongpeng JingDepartment of Cardiology, Aoyang Hospital Affiliated to Jiangsu University, 215600 Zhangjiagang, Jiangsu, China.
Jijun DingDepartment of Cardiology, Aoyang Hospital Affiliated to Jiangsu University, 215600 Zhangjiagang, Jiangsu, China.
Zongqian XueDepartment of Cardiology, Aoyang Hospital Affiliated to Jiangsu University, 215600 Zhangjiagang, Jiangsu, China.ORCID https://orcid.org/0009-0001-9650-921X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Myocardial infarction with non-obstructive coronary arteries (MINOCA) represents a heterogeneous clinical entity with an unclear pathophysiological basis. Fibrinogen is a key coagulation factor and inflammatory marker that has been associated with atherosclerotic burden in myocardial infarction (MI). However, the role of fibrinogen in MINOCA remains to be established. Therefore, this study aimed to investigate the association between plasma fibrinogen levels and the occurrence of MINOCA, and to evaluate the potential value of fibrinogen assessment in clinical characterization and early identification. Methods: This retrospective study initially screened 1759 patients diagnosed with acute myocardial infarction (AMI) who underwent coronary angiography. A total of 287 patients were analyzed after applying the inclusion and exclusion criteria: 87 with MINOCA and 200 with the MI alongside obstructive coronary artery disease (MI-CAD). A logistic regression analysis was used to assess the association between fibrinogen levels and MINOCA, with subgroup and interaction analyses performed. Receiver operating characteristic (ROC) and restricted cubic spline (RCS) analyses were conducted as supplementary evaluations. Results: Fibrinogen levels were significantly lower in the MINOCA group compared to the MI-CAD group ( Conclusions: Lower plasma fibrinogen levels were independently associated with the occurrence of MINOCA, suggesting a potential role in its pathophysiology and the early identification of this condition. Fibrinogen alone has limited discriminative utility; however, fibrinogen may contribute to multi-marker approaches for determining and managing MINOCA patients.

Indexed as

fibrinogenMINOCAmyocardial infarctionnon-obstructive coronary artery disease

Identifiers

PMID41659080
PMCPMC12873661

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