Assessment of a New Electrocardiographic Marker for the Diagnosis of Myocardial Infarction With Non-obstructive Coronary Arteries

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dc.authoridERGÜN, GÖKHAN/0000-0002-1863-4605
dc.authoridbekir, calapkorur/0000-0002-9760-1827
dc.authoridTEKIN, KEMAL ABID/0000-0002-6931-3983
dc.authoriddemirelli, selami/0000-0001-7613-3078
dc.authorwosiddemirci, erkan/IVH-2862-2023
dc.authorwosidERGÜN, GÖKHAN/A-3397-2016
dc.authorwosidbekir, calapkorur/AEJ-6846-2022
dc.authorwosiddemirelli, selami/A-1208-2018
dc.contributor.authorDemirelli, Selami
dc.contributor.authorTekin, Kemal Abid
dc.contributor.authorTasolar, Hakan
dc.contributor.authorCalapkorur, Bekir
dc.contributor.authorErgun, Gokhan
dc.contributor.authorDemirci, Erkan
dc.date.accessioned2024-08-04T20:51:56Z
dc.date.available2024-08-04T20:51:56Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractMyocardial infarction with non-obstructive coronary arteries (MINOCA) is clinically defined as myocardial infarction in the absence of obstructive atherosclerosis on coronary angiography. Diagnosis may require multiple diagnostic tools in addition to standard coronary angiography, including cardiac imaging or provocative tests, according to clinical suspicion. We assessed the usefulness of the DETERMINE (Defibrillators to Reduce Risk by Magnetic Resonance Imaging Evaluation) score for distinguishing patients with MINOCA from those with non-ST segment elevation myocardial infarction with obstructive coronary artery disease (NSTEMI-CAD) in a single-center observational study. The patients were divided into two groups according to coronary angiography findings. The study included 277 patients: 227 with NSTEMI-CAD and 50 with MINOCA. The DETERMINE score (6.1 +/- 3.7 vs 1.9 +/- 2.1, P<.001) was significantly higher in the NSTEMI-CAD than MINOCA group. Logistic regression analysis revealed that the DETERMINE score (OR=0.591, P<0.001) was an independent predictor of MINOCA. The incidence of diabetes mellitus and glucose levels were significantly higher in the NSTEMI-CAD group; however, ejection fraction was significantly higher in the MINOCA group (P<0.05). Our findings suggest that the DETERMINE score constitutes a simple and inexpensive tool for the assessment of MINOCA.en_US
dc.identifier.doi10.1177/00033197221089373
dc.identifier.endpage295en_US
dc.identifier.issn0003-3197
dc.identifier.issn1940-1574
dc.identifier.issue3en_US
dc.identifier.pmid35451331en_US
dc.identifier.scopus2-s2.0-85130032420en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage288en_US
dc.identifier.urihttps://doi.org/10.1177/00033197221089373
dc.identifier.urihttps://hdl.handle.net/11616/100648
dc.identifier.volume74en_US
dc.identifier.wosWOS:000786596500001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofAngiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectmyocardial infarction with non-obstructive coronary arteriesen_US
dc.subjectelectrocardiographyen_US
dc.subjectmyocardial infarctionen_US
dc.subjectscoreen_US
dc.titleAssessment of a New Electrocardiographic Marker for the Diagnosis of Myocardial Infarction With Non-obstructive Coronary Arteriesen_US
dc.typeArticleen_US

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