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Prognostic Impact of Recommended Treatment in Patients with Myocardial Infarction with Nonobstructive Coronary Arteries by D Galan Gil; J Lopez Pais; B Izquierdo Coronel; R Olsen Rodriguez; R Abad Romero; M.J Espinosa Pascual; J.J Alonso Martin is a Medicine article available to read on EtoBox.

What is Prognostic Impact of Recommended Treatment in Patients with Myocardial Infarction with Nonobstructive Coronary Arteries about?

## Abstract ## Introduction Myocardial infarction with non-obstructive coronary arteries (MINOCA), and specially its treatment, is still a challenge in the clinical practice. The Position Paper of the European Society of Cardiology (PP-ESC) of 2016 recommend to treat this patients (pts) like those with obstructive arteries: double antiplatelet therapy (DAPT), betablockers, angiotensin converting enzyme inhibitors (ACEi) or angiotensin II receptor blocker (ARB) and statins. The aim of this study is to analyze the use of the recommended treatment in the clinical practice, and the impact in the prevention of cardiovascular events. ## Methods Analytical and observational study developed in a Universitary Hospital which covers over 220.000 individuals. From January-2016 to December-2019, we registered all the ptsthat were admitted for MINOCA. We analyzed the treatment at discharge and its relationship with mayor adverse cardiovascular events (MACE) at the year of follow up. ## Results During the period studied, 115 pts were diagnosed of MINOCA, with only one case of in-hospital death. At discharge, DAPT AAS were prescribed in 61%, and a second antiplatelet therapy (clopidogrel, ticagrel

Who reads Prognostic Impact of Recommended Treatment in Patients with Myocardial Infarction with Nonobstructive Coronary Arteries?

Author

D Galan Gil; J Lopez Pais; B Izquierdo Coronel; R Olsen Rodriguez; R Abad Romero; M.J Espinosa Pascual; J.J Alonso Martin

Publisher

Oxford University Press (OUP)

Published

2020

Language

EN

Field

Medicine (Health Sciences)