Issue: May 2016
April 19, 2016
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VIDEO: MI with nonobstructive coronary arteries a key focus area in women’s heart health

Issue: May 2016
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CHICAGO — In this video exclusive, Harmony R. Reynolds, MD, discusses recent research, outcomes and treatment options for MI with nonobstructive coronary arteries in women.

It has been long-recognized that many patients, especially women, have nonobstructive coronary disease when they have an MI, but the term MINOCA is relatively new, according to Reynolds, the Saul J. Farber associate professor of medicine and associate director of the Cardiovascular Clinical Research Center at NYU Langone Medical Center.

It is important to know the differences between MINOCA and MI with obstructive coronary arteries, she said. MINOCA has a preferential effect in women, “meaning the chance of having a female patient with MINOCA is twice as likely as having a female patient with MI with obstructive coronary arteries,” she said. MINOCA is also associated with plaque erosion, plaque rupture with thrombosis, vasospasm and myocarditis.

Reynolds said research on the causes, diagnosis, outcomes and optimal treatment of MINOCA continues.