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Characteristics and Long-term Mortality in Patients with ST-Segment Elevation Myocardial Infarction with Non-Obstructive Coronary Arteries (STE-MINOCA): A High Risk Cohort.

Odayme QuesadaMehmet YildizTimothy D HenryBrynn K OkesonJenny ChambersAnanya ShahLarissa I StanberryLucas VolpenheinDalia AzizRebekah LantzCassady PalmerJustin UgwuMuhammad J AhsanRoss F GarberichHeather S RohmFrank V AguirreSantiago GarciaScott W Sharkey
Published in: medRxiv : the preprint server for health sciences (2023)
In this large multicenter STEMI cohort, nearly 5% of patients presented with STE-MINOCA. At five years, mortality approached 20% among patients with STE-MINOCA. Despite the lower risk profile, STE-MINOCA patients were at 40% higher risk of 5-year all-cause mortality compared with STEMI-Obstruction. Additionally, 5-year all-cause mortality risk was higher in AHA STE-MINOCA Mimicker but similar in AHA STE-MINOCA compared to STEMI-Obstruction.
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