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Predictors of mortality in myocardial infarction and nonobstructed coronary arteries: A systematic review and meta-regression

American Journal of Medicine Jan 06, 2020

Pelliccia F, Pasceri V, Niccoli G, et al. - Experts searched PubMed, EMBASE, and Cochrane databases and examined cited references up to December 31, 2018, to recognize studies with > 6 months’ follow-up data in order to discover the long-term mortality of individuals with myocardial infarction and nonobstructed coronary arteries (MINOCA) and to recognize potential prognostic determinants of long-term consequence. A total of 44 studies were selected involving 36,932 individuals. Finding suggests that the long-term mortality following MINOCA was lower in contrast with people with myocardial infarction and obstructive coronary artery disease, however, it is not trivial. Moreover, important predictors of long-term prognosis were decreased ejection fraction, nonobstructive coronary artery disease, use of beta-blockers during follow up and ST depression on the admission electrocardiogram.
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