Інфаркт міокарда з необструктивними коронарними артеріями: патогенетичні патерни та діагностичний пошук
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https://orcid.org/0000-0003-1098-179X
Анотація
Термін MINOCA (інфаркт міокарда з необструктивними коронарними артеріями) характеризує патологічні стани, за яких виникає ішемічний некроз міокарда без гемодинамічно значних звужень коронарних артерій. Це робочий діагноз, що потребує ретельного діагностичного пошуку причини: розрив бляшки, коронарна дисекція, вазоспазм, мікроваскулярна дисфункція, тромбоемболізм тощо. Зазвичай коронарографія має суттєві обмеження для виявлення специфічної етіології. Саме тому використання внутрішньокоронарних методів візуалізації та вазомоторних функціональних тестів є пріоритетним у цієї категорії пацієнтів, які переважно молодого віку. У цьому огляді розглянуто основні патогенетичні патерни MINOCA та представлено діагностичний маршрут для таких пацієнтів.
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