myocardial infarction in the absence of obstructive coronary artery disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Clinically diagnosed as acute myocardial infarction with concurrent coronary artery examination, the diagnosis of acute myocardial infarction should conform to the global uniform definition of the fourth edition of myocardial infarction: (1) Serum levels of myocardial damage markers (mainly troponin) increased (at least over 99% ULN) and changed dynamically. (2) Exact clinical evidence of myocardial infarction 1) symptoms of ischemia; 2) New or presumed new significant ST-T changes or new left bundle branch block; 3) Development of pathological Q waves; 4) Imaging evidence showed the existence of segmental motion abnormalities of the myocardial wall; 5) Coronary thrombosis was evident at angiography or autopsy; 2. The diagnostic criteria of MINOCA are: (1) Clearly diagnosed as AMI; (2) Coronary angiography suggested nonobstructive coronary artery (stenosis =50%; 4. Aged >=18 years; 5. Obtain the informed consent of the patient.
Exclusion criteria
Exclusion criteria: (1) Thrombolysis prior to coronary angiography; (2) In the MINOCA group, myocarditis, septicemia, pulmonary embolism, heart contusion and neglected coronary artery branch occlusion should be excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mortality; | — |
Countries
China
Contacts
The First Hospital of Jiaxing