ContemporaryDiagnosisandManagementofPatientsWithMyocardialInfarctionintheAbsenceofObstructiveCoronaryArteryDisease:AScientificStatementFromtheAmericanHeartAssociationCirculationreview-articleEarlyRecent,Mar27,./CIR.本文由“天纳”临床学术信息人工智能系统自动翻译点击文末“阅读原文”下载本文PDFMyocardialinfarctionintheabsenceofobstructivecoronaryarterydiseaseisfoundin≈5%to6%ofallpatientswithacuteinfarctionwhoarereferredforcoronaryangiography.Thereareavarietyofcausesthatcanresultinthisclinicalcondition.Assuch,itisimportantthatpatientsareappropriatelydiagnosedandanevaluationtouncoverthecorrectcauseisperformedsothat,whenpossible,specifictherapiestotreattheunderlyingcausecanbeprescribed.ThisstatementprovidesaformalandupdateddefinitionforthebroadlylabelledtermMINOCA(incorporatingthedefinitionofacutemyocardialinfarctionfromthenewlyreleased“FourthUniversalDefinitionofMyocardialInfarction”)andprovidesaclinicallyusefulframeworkandalgorithmsforthediagnosticevaluationandmanagementofpatientswithmyocardialinfarctionintheabsenceofobstructivecoronaryarterydisease.所有接受冠状动脉造影检查的急性梗死患者中，无阻塞性冠状动脉疾病的心肌梗死约占5%至6%。导致这种临床状况的原因多种多样。因此，对患者进行适当的诊断和评估以发现正确的原因是很重要的，这样，在可能的情况下，可以制定治疗潜在原因的具体疗法。本声明提供了一个正式和更新的术语minoca的定义（包括新发布的“心肌梗死的第四版通用定义”中的急性心肌梗死的定义），并提供了一个临床上有用的框架和算法，用于诊断评估和管理无阻塞性冠状动脉疾病的心肌梗死患者。FootnotesTheAmericanHeartAssociationmakeseveryefforttoavoidanyactualorpotentialconflictsofinterestthatmayariseasaresultofanoutsiderelationshiporapersonal,professional,orbusinessinterestofamemberofthewritingpanel.Specifically,allmembersofthewritinggrouparerequiredto
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