Myocardial infarction with nonobstructive coronary arteries - the European PERspective (SNIPER) survey.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Morrone Doralisa, Stefanini Giulio, De Carlo Marco, Giannini Cristina, Toth Gabor, Prunea Dan, Zivelonghi Carlo, Benedetti Alice, De Bruyne Bernard, Wilgenhof Adriaan, Kanovsky Jan, Kala Petr, Holmvang Lene, Hasbak Markus, Hildick-Smith David, Cockburn James, Amabile Nicolas, Veugeois Aurelie, Hovasse Thomas, Neylon Antoinette, Honton Benjamin, Farah Bruno, Gori Tommaso, Knorr Maike, Wolf Alexander, Schmit Thomas, Hausleiter Jörg, K Konstantin Stark, Abdel-Waha Mohamed, Feistritzer Hans-Josef, Woitek Felix, Linke Axel, Leick Jürgen, Afzal Shazia, Alexopoulos Dimitrios, Varlamos Charalampos, Tsioufis Kostantinos, Dimitriadis Kyriakos, Testa Luca, Squillace Mattia, Conrotto Federico, D'Ascenzo Fabrizio, Campo Gianluca, Cocco Marta, Di Mario Carlo, Caniato Flavia, Ribichini Flavio Luciano, Prati Daniele, Tarantini Giuseppe, Cardaioli Francesco, Burzotta Francesco, Paraggio Lazzaro, Bedogni Francesco, Arzuffi Luca, Chieffo Alaide, Ghizzoni Giulia, Davidavicius Giedrius, Budrys Povilas, Van Mieghem Nicolas, Daemen Joost, Brinkmann Regine, Bante Hendrik, Lesiak Maciej, Iwanczyk Sylwia, Pregowski Jerzy, Skowronski Jaroslaw, Madeira Sergio, Raposo Luis, Estevez-Loureiro Rodrigo, Sisinni Antonio, Escaned Javier, Jeronimo Adrian, Moreno Raul, Jimenez-Valero Santiago, Vriesendorp Pieter, Pustjens Tobias, Van Geuns Robert, Damman Peter, Van de Hoef Tim, Van der Harst Pim, Mamas Mamas A, Duckett Simon, Mikhail Ghada, Lucarelli Carla, Berry Colin, De Caterina Raffaele
Аннотация
METHODS: Between June and October 2023, we distributed an electronic survey to 42 centres selected from a 2023 list of European Association of Percutaneous Cardiovascular Interventions Hosting Academic Centres, obtaining information on demographics of MINOCA, perceived clinical impact, testing and treatments.
RESULTS: The analysis was based on data from 41 centres. According to the survey, MINOCA accounts for approximately 10% of MI cases. Only 38% of the respondents perceived MINOCA as increasing the risk for future major adverse cardiovascular events. Sixty-three percent of centres agreed on the need for further testing after MINOCA diagnosis, and 22% reported proceeding with a comprehensive diagnostic algorithm. Intravascular (51%) and cardiac magnetic resonance imaging (50%) were the most common diagnostic tools used. Coronary plaque disruption was perceived as the most frequent cause based on respondents' opinions. Sixty-nine percent of centres considered 'empiric' therapy acceptable without functional testing.
CONCLUSIONS: This survey revealed a significant heterogeneity in the diagnostic approaches to MINOCA in academic European centres, with variable belief of its clinical impact, wide variation in diagnostic algorithms, noteworthy diagnostic inertia, and poor adherence to guideline recommendations. All these point to a pressing need for a unified approach to MINOCA testing and a much closer alignment to guidelines.