Presentation and outcome of myocardial infarction with non-obstructive coronary arteries in coronavirus disease 2019.
Presentation and outcome of myocardial infarction with non-obstructive coronary arteries in coronavirus disease 2019.
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DOI：
10.5492/wjccm.v11.i3.129
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发表时间：
2022-05-09
期刊：
影响因子：
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通讯作者：
Mishra, Ajay K
中科院分区：
文献类型：
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作者：
John, Kevin;Lal, Amos;Sharma, Nitish;ElMeligy, Amr;Mishra, Ajay K
在2019冠状病毒病（COVID-19）的心脏并发症中，文献中越来越多地报道的一种是非阻塞性冠状动脉心肌梗死（MINOCA）。我们回顾了所有报告的COVID-19患者中的MINOCA病例，以总结其临床特征，评估和治疗。我们使用检索词“COVID-19”和“MINOCA”或“非阻塞性冠状动脉”在Pubmed中进行了文献检索。在报告的病例中，平均年龄为61.5岁（SD ± 13.4），50%为男性。胸痛是5例患者（62.5%）的主要症状，高血压是最常见的合并症（62.5%）。ST段抬高者占87.5%，死亡率为37.5%。COVID-19中的MINOCA是一种具有广泛鉴别诊断的实体。因此，在其评估中需要统一的算法，以确保及时诊断和管理。
Among the cardiac complications of coronavirus disease 2019 (COVID-19), one increasingly reported in the literature is myocardial infarction with non-obstructive coronaries (MINOCA). We reviewed all reported cases of MINOCA in COVID-19 patients to summarize its clinical features, evaluation, and treatment. We performed a literature search in Pubmed using the search terms ‘COVID-19’ and ‘MINOCA’ or ‘non-obstructive coronaries’. Among the reported cases, the mean age was 61.5 years (SD ± 13.4), and 50% were men. Chest pain was the presenting symptom in five patients (62.5%), and hypertension was the most common comorbidity (62.5%). ST-elevation was seen in most patients (87.5%), and the overall mortality rate was 37.5%. MINOCA in COVID-19 is an entity with a broad differential diagnosis. Therefore, a uniform algorithm is needed in its evaluation to ensure timely diagnosis and management.