MINOCA biomarkers: Non-atherosclerotic aspects

Clin Chim Acta. 2023 Nov 1:551:117613. doi: 10.1016/j.cca.2023.117613. Epub 2023 Oct 21.

Abstract

Myocardial infarction in the absence of obstructive coronary artery disease (MINOCA) is an important subtype of myocardial infarction. Although comprising less than 50% stenosis in the main epicardial coronary arteries, it constitutes a severe health risk. A variety of approaches have been recommended, but definitive diagnosis remains elusive. In addition, the lack of a comprehensive understanding of underlying pathophysiology makes clinical management difficult and unpredictable. This review highlights ongoing efforts to identify relevant biomarkers in MINOCA to improve diagnosis, individualize treatment and better predict outcomes.

Keywords: Biomarkers; Diagnosis; MINOCA; Mechanisms; Prognosis; Therapeutic targets.

Publication types

  • Review

MeSH terms

  • Biomarkers
  • Coronary Angiography
  • Coronary Artery Disease* / diagnosis
  • Coronary Artery Disease* / therapy
  • Coronary Vessels
  • Humans
  • MINOCA
  • Myocardial Infarction* / diagnosis
  • Risk Factors

Substances

  • Biomarkers