Guidelines for the management of myocardial infarction/injury with non-obstructive coronary arteries (MINOCA): a position paper from the Dutch ACS working group

T. F. S. Pustjens, Y. Appelman, P. Damman, J. M. ten Berg, J. W. Jukema, R. J. de Winter, W. R. P. Agema, M. L. J. van der Wielen, F. Arslan, S. Rasoul, A. W. J. van ’t Hof

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

Patients with myocardial infarction and non-obstructive coronary arteries (MINOCA), defined as angiographic stenosis <50%, represent a conundrum given the many potential underlying aetiologies. Possible causes of MINOCA can be subdivided into coronary, myocardial and non-cardiac disorders. MINOCA is found in up to 14% of patients presenting with an acute coronary syndrome. Clinical outcomes including mortality, and functional and psychosocial status, are comparable to those of patients with myocardial infarction and obstructive coronary arteries. However, many uncertainties remain regarding the definition, clinical features and management of these patients. This position paper of the Dutch ACS working group of the Netherlands Society of Cardiology aims to stress the importance of considering MINOCA as a dynamic working diagnosis and to guide the clinician in the management of patients with MINOCA by proposing a clinical diagnostic algorithm.
Original languageEnglish
JournalNetherlands Heart Journal
DOIs
Publication statusE-pub ahead of print - 22 Nov 2019

Cite this

Pustjens, T. F. S. ; Appelman, Y. ; Damman, P. ; ten Berg, J. M. ; Jukema, J. W. ; de Winter, R. J. ; Agema, W. R. P. ; van der Wielen, M. L. J. ; Arslan, F. ; Rasoul, S. ; van ’t Hof, A. W. J. / Guidelines for the management of myocardial infarction/injury with non-obstructive coronary arteries (MINOCA): a position paper from the Dutch ACS working group. In: Netherlands Heart Journal. 2019.
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title = "Guidelines for the management of myocardial infarction/injury with non-obstructive coronary arteries (MINOCA): a position paper from the Dutch ACS working group",
abstract = "Patients with myocardial infarction and non-obstructive coronary arteries (MINOCA), defined as angiographic stenosis <50{\%}, represent a conundrum given the many potential underlying aetiologies. Possible causes of MINOCA can be subdivided into coronary, myocardial and non-cardiac disorders. MINOCA is found in up to 14{\%} of patients presenting with an acute coronary syndrome. Clinical outcomes including mortality, and functional and psychosocial status, are comparable to those of patients with myocardial infarction and obstructive coronary arteries. However, many uncertainties remain regarding the definition, clinical features and management of these patients. This position paper of the Dutch ACS working group of the Netherlands Society of Cardiology aims to stress the importance of considering MINOCA as a dynamic working diagnosis and to guide the clinician in the management of patients with MINOCA by proposing a clinical diagnostic algorithm.",
author = "Pustjens, {T. F. S.} and Y. Appelman and P. Damman and {ten Berg}, {J. M.} and Jukema, {J. W.} and {de Winter}, {R. J.} and Agema, {W. R. P.} and {van der Wielen}, {M. L. J.} and F. Arslan and S. Rasoul and {van ’t Hof}, {A. W. J.}",
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Guidelines for the management of myocardial infarction/injury with non-obstructive coronary arteries (MINOCA): a position paper from the Dutch ACS working group. / Pustjens, T. F. S.; Appelman, Y.; Damman, P.; ten Berg, J. M.; Jukema, J. W.; de Winter, R. J.; Agema, W. R. P.; van der Wielen, M. L. J.; Arslan, F.; Rasoul, S.; van ’t Hof, A. W. J.

In: Netherlands Heart Journal, 22.11.2019.

Research output: Contribution to journalReview articleAcademicpeer-review

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T1 - Guidelines for the management of myocardial infarction/injury with non-obstructive coronary arteries (MINOCA): a position paper from the Dutch ACS working group

AU - Pustjens, T. F. S.

AU - Appelman, Y.

AU - Damman, P.

AU - ten Berg, J. M.

AU - Jukema, J. W.

AU - de Winter, R. J.

AU - Agema, W. R. P.

AU - van der Wielen, M. L. J.

AU - Arslan, F.

AU - Rasoul, S.

AU - van ’t Hof, A. W. J.

PY - 2019/11/22

Y1 - 2019/11/22

N2 - Patients with myocardial infarction and non-obstructive coronary arteries (MINOCA), defined as angiographic stenosis <50%, represent a conundrum given the many potential underlying aetiologies. Possible causes of MINOCA can be subdivided into coronary, myocardial and non-cardiac disorders. MINOCA is found in up to 14% of patients presenting with an acute coronary syndrome. Clinical outcomes including mortality, and functional and psychosocial status, are comparable to those of patients with myocardial infarction and obstructive coronary arteries. However, many uncertainties remain regarding the definition, clinical features and management of these patients. This position paper of the Dutch ACS working group of the Netherlands Society of Cardiology aims to stress the importance of considering MINOCA as a dynamic working diagnosis and to guide the clinician in the management of patients with MINOCA by proposing a clinical diagnostic algorithm.

AB - Patients with myocardial infarction and non-obstructive coronary arteries (MINOCA), defined as angiographic stenosis <50%, represent a conundrum given the many potential underlying aetiologies. Possible causes of MINOCA can be subdivided into coronary, myocardial and non-cardiac disorders. MINOCA is found in up to 14% of patients presenting with an acute coronary syndrome. Clinical outcomes including mortality, and functional and psychosocial status, are comparable to those of patients with myocardial infarction and obstructive coronary arteries. However, many uncertainties remain regarding the definition, clinical features and management of these patients. This position paper of the Dutch ACS working group of the Netherlands Society of Cardiology aims to stress the importance of considering MINOCA as a dynamic working diagnosis and to guide the clinician in the management of patients with MINOCA by proposing a clinical diagnostic algorithm.

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