{"id":10144,"date":"2026-06-11T01:53:18","date_gmt":"2026-06-10T22:53:18","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=10144"},"modified":"2026-06-11T01:53:18","modified_gmt":"2026-06-10T22:53:18","slug":"the-lancet-europcr-2026","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/the-lancet-europcr-2026\/","title":{"rendered":"The Lancet \/ EuroPCR 2026"},"content":{"rendered":"
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The Lancet \/ EuroPCR 2026<\/p>\n

ANOCA, INOCA & MINOCA: Beyond a \u201cNormal\u201d Angiogram<\/p>\n

* ANOCA: Angina with Non-Obstructive Coronary Arteries (chest pain with non-obstructive coronaries, with or without objective evidence of ischemia).<\/p>\n

* INOCA: Angina with Objective evidence of myocardial ischemia with Non-Obstructive Coronary Arteries (Stress ECG, Stress Echo, Nuclear Imaging, PET, CMR, etc.)<\/p>\n

INOCA = ANOCA + objective evidence of ischemia.<\/p>\n

* MINOCA: Myocardial Infarction with Non-Obstructive Coronary Arteries.
\n* Common mechanisms include Coronary Microvascular Dysfunction (CMD), epicardial coronary spasm, and microvascular spasm.<\/p>\n

Study Findings<\/p>\n

* Prospective multicenter study of 1,003 patients undergoing clinically indicated coronary angiography and coronary physiology assessment.
\n* CMD was associated with a 91% higher risk of MACE.
\n* In patients without obstructive CAD, MACE occurred in 31% with CMD vs 9% without CMD (HR 3.45).<\/p>\n

Take-Home Message<\/p>\n

A normal angiogram does not exclude significant cardiovascular risk. CMD and coronary spasm are important causes of ANOCA\/INOCA and are associated with adverse cardiovascular outcomes.<\/p>\n

Source: The Lancet, presented at EuroPCR 2026 \u061b Medscape, June 5, 2026.<\/p>\n

https:\/\/click.mail.medscape.com\/?qs=ABB7InYiOjEsImQiOjQ5MDN9AAYAAAAAAeKW_CCOSI4K9uYRSS8OLP_xLbwfLVDCw5fFE2CIHS3pq7MZj_plnWjTPz5hJ3jIRBH72utgG7fnJlSn2FUEejv1P9AYD-Ra5V5V_EVAsVk<\/a><\/div>\n

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The Lancet \/ EuroPCR 2026 ANOCA, INOCA & MINOCA: Beyond a \u201cNormal\u201d Angiogram * ANOCA: Angina with Non-Obstructive Coronary Arteries (chest pain with non-obstructive coronaries, with or without objective evidence of ischemia). * INOCA: Angina with Objective evidence of myocardial ischemia with Non-Obstructive Coronary Arteries (Stress ECG, Stress Echo, Nuclear Imaging, PET, CMR, etc.) INOCA […]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10144","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/10144","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=10144"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/10144\/revisions"}],"predecessor-version":[{"id":10145,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/10144\/revisions\/10145"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=10144"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=10144"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=10144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}