<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0420</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Urug.Cardiol.]]></abbrev-journal-title>
<issn>1688-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-04202020000100202</article-id>
<article-id pub-id-type="doi">10.29277/cardio.35.1.11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infarto agudo de miocardio sin lesiones coronarias obstructivas - MINOCA: un enigma para el cardiólogo clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute Myocardial Infarction with Non - Obstructive Coronary Arteries - MINOCA: an enigma for the clinical cardiologist]]></article-title>
<article-title xml:lang="pt"><![CDATA[Infarto Agudo do Miocárdio com Artérias Coronárias Não - Obstrutivas - MINOCA: um enigma para o cardiologista clínico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ache]]></surname>
<given-names><![CDATA[Yamel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guamán]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viñole]]></surname>
<given-names><![CDATA[Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vignolo]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Sanatorio Americano Centro Cardiológico Americano ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas Centro Cardiovascular Universitario]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>202</fpage>
<lpage>230</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-04202020000100202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-04202020000100202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-04202020000100202&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El infarto agudo de miocardio sin lesiones coronarias obstructivas (MINOCA) es una afección recientemente definida en la práctica cardiológica. Su diagnóstico se basa en la angiografía coronaria, que da inicio a un proceso de búsqueda etiológica muchas veces complejo, pero con importancia pronóstica y terapéutica. Existen diferentes mecanismos involucrados en los MINOCA, que se plantean una vez excluidas la embolia pulmonar, la miocarditis y el síndrome de takotsubo. Se reconoce un patrón epicárdico de MINOCA presente en los casos de disrupción de placa, disección, vasoespasmo, y, eventualmente, embolismo coronario; y un patrón microvascular en casos de espasmo microvascular y embolia coronaria de pequeños vasos. Varias herramientas son útiles en su estudio: ecocardiografía, ventriculografía izquierda, técnicas de imagen intravascular, estudio del flujo coronario y resonancia magnética cardíaca, entre otras. Su uso debe ser guiado por el juicio clínico, y si bien no hay un algoritmo claramente establecido, incorporar todas las herramientas disponibles puede determinar la causa definitiva en algunos pacientes. La presente revisión pretende acercar al cardiólogo clínico información útil para su práctica habitual.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: Acute Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) is a recently defined condition in cardiology practice. The diagnosis starts with coronary angiography that is the beginning of an etiological research process, often complex, but with prognostic and therapeutic importance for each etiology. There are different mechanisms involved in MINOCA, which are posed once pulmonary embolism, myocarditis and takotsubo cardiomyopathy are excluded. It is described an epicardial pattern of MINOCA in cases of plaque disruption, dissection, vasospasm, and eventually coronary embolism; and a microvascular pattern in cases of microvascular spasm and small vessel coronary embolism. Several tools are useful in its study, such as echocardiography, left ventriculography, intravascular imaging techniques, study of coronary flow, and cardiac magnetic resonance, among others. Its use should be guided by clinical criteria. Despite there is no clearly established algorithm in our current practice, it is necessary to incorporate all available tools to approach the definitive MINOCA etiology whenever is possible. The aim of this review is to bring useful information to the clinical cardiologist for his daily practice.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: O Infarto Agudo do Miocárdio com Artérias Coronárias Não - Obstrutivas (MINOCA) é uma condição recentemente definida na prática cardiológica. O diagnóstico começa com a angiografia coronariana, que é o início de um processo de pesquisa etiológica, muitas vezes complexo, mas com importância prognóstica e terapêutica para cada etiologia. Existem diferentes mecanismos envolvidos no MINOCA, que são colocados uma vez que a embolia pulmonar, miocardite e cardiomiopatia de takotsubo são excluídos. É descrito um padrão epicárdico de MINOCA presente em casos de ruptura de placa, dissecção, vasoespasmo e embolia coronariana; e um padrão microvascular em casos de espasmo microvascular e embolia coronariana de pequenos vasos. Diversas ferramentas são úteis no estudo de MINOCA: ecocardiografia, ventriculografia esquerda, técnicas de imagem intravascular, estudo do fluxo coronariano, ressonância magnética cardíaca, entre outras. O uso destas deve ser guiado pela suspeita clínica e, embora não haja um processo claramente estabelecido em nossa prática atual, é necessário incorporar todas as ferramentas disponíveis para abordar a etiologia definitiva do MINOCA quando isso for possível. A presente revisão tem como objetivo fornecer ao cardiologista clínico informações úteis para sua prática usual.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infarto de miocardio con arterias coronarias no obstructivas]]></kwd>
<kwd lng="en"><![CDATA[Myocardial infarction with non-obstructive coronary arteries]]></kwd>
<kwd lng="pt"><![CDATA[Infarto do miocárdio com artérias coronárias não obstrutivas]]></kwd>
</kwd-group>
</article-meta>
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