Presentation and outcome of myocardial infarction with nonobstructive coronary arteries in coronavirus disease 2019  

作　　者：Kevin John Amos Lal Nitish Sharma Amr ElMeligy Ajay K Mishra 

机构地区：[1]Department of Critical Care,Believers Church Medical College Hospital,Thiruvalla 689103,Kerala,India [2]Division of Pulmonary&Critical Care Medicine,Mayo Clinic,Rochester,MN 55905,United States [3]Division of Cardiology,Saint Vincent Hospital,Worcester,MA 01608,United States [4]Division of Interventional Cardiology,Saint Vincent Hospital,Worcester,MA 01608,United States [5]Department of Cardiovascular Medicine,Saint Vincent Hospital,Worcester,MA 01608,United States

出　　处：《World Journal of Critical Care Medicine》2022年第3期129-138,共10页世界重症医学杂志

摘　　要：Among the cardiac complications of coronavirus disease 2019(COVID-19),one increasingly reported in the literature is myocardial infarction with nonobstructive 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.

关 键 词：COVID-19 Myocardial infarction with non-obstructive coronary arteries OUTCOME 

分 类 号：R542.22[医药卫生—心血管疾病] R563.1[医药卫生—内科学]