Інфаркт міокарда з необструктивними коронарними артеріями: патогенетичні патерни та діагностичний пошук

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S. Y. Lypovetska

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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Ключові слова:

MINOCA, інфаркт міокарда з необструктивними коронарними артеріями, розрив бляшки, коронарна дисекція, вазоспазм, мікроваскулярна дисфункція, тромбоемболізм

Посилання

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