Prevalence and Clinical Profile of Patients With Myocardial Infarction With Non-Obstructive Coronary Arteries in Turkey (minoca-Tr): a National Multi-Center, Observational Study

dc.authorid Tascanov, Mustafa Begenc/0000-0002-9008-6631
dc.authorid Turk, Ugur Onsel/0000-0001-6348-6616
dc.authorid Yenercag, Mustafa/0000-0002-0933-7852
dc.authorid Roses, Murat/0000-0003-0215-6343
dc.authorid Ozyasar, Mehmet/0000-0001-5227-1716
dc.authorid Aydin, Gokhan/0000-0003-2308-5839
dc.authorid Zoghi, Mehdi/0000-0002-8156-2675
dc.authorwosid Tascanov, Mustafa/Aav-3984-2020
dc.authorwosid Doğan, Yasemi̇n/Itt-8433-2023
dc.authorwosid Özyaşar, Mehmet/Aaw-4341-2021
dc.authorwosid Arı, Hasan/Aal-1814-2020
dc.authorwosid Ozkan, Hakan/I-4458-2014
dc.authorwosid Gül, Murat/Aah-7852-2021
dc.authorwosid Kurt, Devrim/Hlq-5756-2023
dc.contributor.author Kilic, Salih
dc.contributor.author Aydin, Gokhan
dc.contributor.author Coner, Ali
dc.contributor.author Dogan, Yasemin Kilavuz
dc.contributor.author Ozluk, Ozlem Arican
dc.contributor.author Celik, Yunus
dc.contributor.author Turk, Ugur Onsel
dc.date.accessioned 2025-05-10T17:03:59Z
dc.date.available 2025-05-10T17:03:59Z
dc.date.issued 2020
dc.department T.C. Van Yüzüncü Yıl Üniversitesi en_US
dc.department-temp [Kilic, Salih] Hlth Sci Univ, Adana Training & Res Ctr, Dept Cardiol, Adana, Turkey; [Aydin, Gokhan] Hlth Sci Univ, Balikesir Training & Res Ctr, Dept Cardiol, Balikesir, Turkey; [Coner, Ali] Baskent Univ, Alanya Training & Res Ctr, Dept Cardiol, Antalya, Turkey; [Dogan, Yasemin Kilavuz] Hlth Sci Univ, Kayseri Hlth Practices & Res Ctr, Dept Cardiol, Kayseri, Turkey; [Ozluk, Ozlem Arican; Ari, Hasan] Bursa Ihtisas Training & Res Hosp, Dept Cardiol, Bursa, Turkey; [Celik, Yunus] Kirikkale Yuksek Ihtisas Hosp, Dept Cardiol, Kirikkale, Turkey; [Ungan, Ismail] Yalova State Hosp, Dept Cardiol, Yalova, Turkey; [Tascanov, Mustafa] Tokat Med Pk Hosp, Dept Cardiol, Tokat, Turkey; [Duz, Ramazan] Van Training & Res Hosp, Dept Cardiol, Van, Turkey; [Polat, Veli] Bakirkoy Dr Sadi Konuk Training & Res Hosp, Dept Cardiol, Istanbul, Turkey; [Ozkan, Hakan] Bursa Med Pk Hosp, Dept Cardiol, Bursa, Turkey; [Ozyasar, Mehmet] Karaman State Hosp, Dept Cardiol, Karaman, Turkey; [Tuluce, Kamil; Cetin, Nurullah] Cigli Reg Training Hosp, Dept Cardiol, Izmir, Turkey; [Kurt, Devrim] Giresun Univ, Prof Dr A Ilhan Ozdemir Training & Res Hosp, Dept Cardiol, Giresun, Turkey; [Gul, Murat] Aksaray Univ, Training & Res Hosp, Dept Cardiol, Aksaray, Turkey; [Inci, Sinan] Aksaray State Hosp, Dept Cardiol, Aksaray, Turkey; [Coskun, Fatma Yilmaz] Gaziantep Univ, Fac Med, Dept Cardiol, Gaziantep, Turkey; [Zoghi, Megdi] Ege Univ, Fac Med, Dept Cardiol, Izmir, Turkey; [Ergene, Oktay] Dokuz Eylul Univ, Fac Med, Dept Cardiol, Izmir, Turkey; [Turk, Ugur Onsel] Cardiol KardiyoRitm Heart Ctr, Dept Cardiol, Izmir, Turkey en_US
dc.description Tascanov, Mustafa Begenc/0000-0002-9008-6631; Turk, Ugur Onsel/0000-0001-6348-6616; Yenercag, Mustafa/0000-0002-0933-7852; Roses, Murat/0000-0003-0215-6343; Ozyasar, Mehmet/0000-0001-5227-1716; Aydin, Gokhan/0000-0003-2308-5839; Kurt, Devrim/0000-0003-4230-3248; Zoghi, Mehdi/0000-0002-8156-2675 en_US
dc.description.abstract Objective: Myocardial infarction (MI) with non-obstructive coronary arteries (MINOCA) is a relatively new term that is characterized by clinical evidence of MI with normal or near-normal coronary arteries on coronary angiography (QCA). To date, there have been no population-based studies on the prevalence of MINOCA in Turkey. The aim of this nationwide study was to document the prevalence and demographics of MINOCA in a Turkish population. Methods: MINOCA-TR is national, multi-center, prospective, all-comer study that was conducted in 32 hospitals. All consecutive patients who were >= 18 years old, diagnosed with MI according to the Third Universal Definition of Myocardial Infarction, and had undergone DCA were included in the study. Patients with stable coronary artery disease, unstable angina pectoris, a history of revascularization, and type 4/5 MI were excluded. Results: A total of 1793 patients who were diagnosed with MI and had undergone QCA were screened between March 2018 and October 2018, of whom 1626 (mean age: 61.5 +/- 12.5 years, 70.7% male) were enrolled from 32 centers. The prevalence of MINOCA was 6.7% (n=109) in the overall study population. Compared with non-MINOCA patients, those with MINOCA were younger, had a higher prevalence of the female gender, and had a history of flu. The percentages of current smokers, ST-segment elevated myocardial infarction patients, and those with a history of hypertension, diabetes mellitus, and hyperlipidemia were significantly lower in MINOCA patients (p<0.05, for all). Also, the median left ventricular ejection fraction as seen on echocardiography and the ratio of Killip Class I status at presentation was significantly higher in MINOCA patients than in non-MINOCA patients (p<0.001). Patients with MINOCA received a preload dose of P2Y12 antagonist before QCA less often than non-MINOCA patients (p<0.001). Conclusion: The prevalence of MINOCA in Turkey is 6.7% in patients who were admitted with MI. Also, as compared to non-MINOCA patients, the MINOCA patients were exposed to fewer traditional risk factors of coronary artery disease. en_US
dc.description.woscitationindex Science Citation Index Expanded
dc.identifier.doi 10.14744/AnatolJCardiol.2019.46805
dc.identifier.endpage 182 en_US
dc.identifier.issn 2149-2263
dc.identifier.issn 2149-2271
dc.identifier.issue 3 en_US
dc.identifier.pmid 32120362
dc.identifier.scopusquality Q3
dc.identifier.startpage 176 en_US
dc.identifier.uri https://doi.org/10.14744/AnatolJCardiol.2019.46805
dc.identifier.uri https://hdl.handle.net/20.500.14720/5882
dc.identifier.volume 23 en_US
dc.identifier.wos WOS:000522763500010
dc.identifier.wosquality Q4
dc.language.iso en en_US
dc.publisher Kare Publ en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.subject Myocardial Infarction With Non-Obstructive Coronary Arteries en_US
dc.subject Myocardial Infarction en_US
dc.subject Coronary Angiography en_US
dc.title Prevalence and Clinical Profile of Patients With Myocardial Infarction With Non-Obstructive Coronary Arteries in Turkey (minoca-Tr): a National Multi-Center, Observational Study en_US
dc.type Article en_US
dspace.entity.type Publication

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