Myocardial infarction with nonobstructive coronary arteries
https://doi.org/10.34215/1609-1175-2021-2-93-95
Abstract
A clinical case of the non ST-segment elevation myocardial infarction of the 50 years old patient was presented. The peculiarity of the observation – presence of the non-obstructive coronarosclerosis in the area of infarction-connected coronary artery with the narrowing of its lumen up to 20 % and the combination of the indicated changes with the myocardial muscular bridge.
About the Authors
M. M. TsivanyukRussian Federation
MD, postgraduate student; cardiologist
10 Ajax Bay, Russky Island, Vladivostok, 690922, Russian Federation
22 Sadovaya St., Vladivostok, 690078, Russian Federation
B. I. Geltser
Russian Federation
MD, PhD, professor, corresponding member of the Russian Academy of Sciences, director of the Department of Clinical Medicine of the School of Biomedicine
10 Ajax Bay, Russky Island, Vladivostok 690922 Russian Federation
References
1. The World Health Organization the top ten causes of death fact sheet. URL: https://www.who.int/ru/news-room/fact-sheets/detail/thetop-10-causes-of-death (Accessed 5 May 2021).
2. Geltser BI, Tsivanyuk MM, Shakhgeldyan KI, Rublev VYu. Machine learning for assessing the pretest probability of obstructive and non-obstructive coronary artery disease. Russian Journal of Cardiology. 2020;25(5):3802. (In Russ). doi:10.15829/1560-4071-2020-3802
3. Scalone G, Niccoli G, Crea F. Pathophysiology, diagnosis and management of MINOCA: An update. Eur Heart J Acute Cardiovasc Care. 2019;8(1):54–62.
4. Planer D, Mehran R, Ohman EM, White HD, Newman JD, Xu K, Stone GW. Prognosis of patients with non-ST-segment-elevation myocardial infarction and nonobstructive coronary artery disease: propensitymatched analysis from the Acute Catheterization and Urgent Intervention Triage Strategy Trial. Circ Cardiovasc Interv. 2014;7:285–93.
5. Agewall S, Beltrame JF, Reynolds HR, Niessner A, Rosano G, Caforio ALP, et al. ESC working group position paper on myocardial infarction with non-obstructive coronary arteries. Eur Heart J. 2017;38(3):143–53.
6. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD. Fourth universal definition of myocardial infarction (2018). Eur Heart J. 2019;40(3):237–69.
7. Geltser BI, Tsivanyuk MM, Kotelnikov VN, Karpov RS. Vasospastic angina: pathophysiology and clinical significance. Cardiovascular Therapy and Prevention. 2020;19(1):99–105 (In Russ).
8. Bokerija LA, Bokerija OL, Mozhina AA, Tetvadze IV. Myocardial muscle bridges. Embryology, anatomy, pathophysiology: Literature review. Part I. Bjulleten' NCSSH imeni A.N. Bakuleva RAMN. 2010;11(1):62–71 (in Russ).
Review
For citations:
Tsivanyuk M.M., Geltser B.I. Myocardial infarction with nonobstructive coronary arteries. Pacific Medical Journal. 2021;(2):93-95. (In Russ.) https://doi.org/10.34215/1609-1175-2021-2-93-95