Arq. Bras. Cardiol. 2024; 121(5): e20230791
Prognostic Value of PRECİSE DAPT Score on Short- and Long-Term Outcomes in MINOCA Patients with Acute Coronary Syndrome
Tolga Onuk
, Fuat Polat
, Bariş Yaylak
, Ali Nazmi Çalik
, Semih Eren
, Şükrü Akyüz
Introduction
Patients with myocardial infarction with non-obstructive coronary arteries (MINOCA) account for 6% to 14% of patients of all those with acute myocardial infarction (AMI).–
The diagnosis of MINOCA is dependent on the presence of clinical acute MI and the absence of obstructive coronary artery disease (CAD). Actually, MINOCA is initially considered a valid diagnosis during angiography until other possible causes of troponin elevation are excluded. The underlying causes may be coronary conditions or noncoronary conditions including cardiac or noncardiac disorders. MINOCA can be presented as ST-segment elevation myocardial infarction (STEMI) or non-ST-elevation myocardial infarction (NSTEMI) on an electrocardiogram (ECG), however, NSTEMI myocardial infarction is more common in the MINOCA population.,, MINOCA patients show a better prognosis compared to acute coronary syndrome (ACS) patients with obstructive CAD.– However, MINOCA patients have a worse life expectancy compared to age and sex-matched healthy individuals.–
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