MINOCA vs TpNOCA

MINOCA vs TpNOCA

TpNOCA: Troponin-positive nonobstructive coronary arteries

  • Apparent myocardial infarction in the absence of obstructive coronary artery disease

MINOCA: Myocardial Infarction With Nonobstructive Coronary Arteries

  • Term reserved for only those who have evidence of ischemia related myocardial necrosis

MINOCA included only coronary disorders like coronary dissection, plaque disruption, coronary spasm, microvascular dysfunction, coronary thrombus and embolism (recanalized).

TpNOCA includes in addition to MINOCA, myocardial disorders like myocarditis, takotsubo cardiomyopathy and other cardiomyopathies as well as non cardiac disorders like pulmonary embolism and renal impairment.

  1. Pasupathy S, Tavella R, Beltrame JF. Myocardial Infarction With Nonobstructive Coronary Arteries (MINOCA): The Past, Present, and Future Management. Circulation 2017;135:1490-3.