<?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>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932020000100086</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2020.07.01.86-095</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Etiopatogenia e implicancia pronóstica en el infarto de miocardio sin obstrucción de las arterias coronarias epicárdicas (MINOCA)]]></article-title>
<article-title xml:lang="en"><![CDATA[Ethiopathogenesis and prognostic implication in myocardial infarction without obstruction of the epicardial coronary arteries (MINOCA)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alderete Martínez]]></surname>
<given-names><![CDATA[José Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Centurión]]></surname>
<given-names><![CDATA[Osmar Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción División de Medicina Cardiovascular Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Sanatorio Metropolitano Departamento de Investigación en Ciencias de la Salud. ]]></institution>
<addr-line><![CDATA[Fernando de la Mora ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>1</numero>
<fpage>86</fpage>
<lpage>95</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932020000100086&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932020000100086&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932020000100086&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El infarto de miocardio sin obstrucción de las arterias coronarias (MINOCA) es un síndrome clínico caracterizado por la evidencia clínica de infarto de miocardio con arterias coronarias normales o con estenosis no significativas en la angiografía coronaria igual o menor a 50%. El MINOCA es un síndrome clínico con múltiples etiologías que pueden afectar tanto los vasos epicárdicos como la microcirculación, con una prevalencia de 6%. Se debe realizar un enfoque de medicina personalizado mediante el cual los pacientes con diferentes subtipos de angina, definidos por los resultados de pruebas coronarias de funcionalidad, puedan beneficiarse de una terapia individualizada y dirigida. Se requiere de un caudal mayor de investigación para determinar si este enfoque puede conducir al paciente a beneficios clínicos. Las pruebas invasivas más generalizadas permiten la identificación de subgrupos de diagnóstico para el desarrollo de terapias dirigidas guiado por estudios mecanicistas. El manejo terapéutico depende de la causa que lo origina, si es que llega a ser identificada. El pronóstico es variable, dependiendo de la causa, y en muchos casos es similar a aquellos casos con obstrucción coronaria. El diagnóstico correcto de la causa subyacente de la angina permite el tratamiento preciso, específico y estratificado de los diferentes tipos de causa etiológica. Esta manera de actuar ha demostrado que este enfoque es seguro, factible y con beneficios demostrables para los pacientes con MINOCA.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Myocardial infarction without coronary artery obstruction (MINOCA) is a clinical syndrome characterized by clinical evidence of myocardial infarction with normal coronary arteries or with non-significant stenosis in coronary angiography equal to or less than 50%. MINOCA is a clinical syndrome with multiple etiologies that can affect both epicardial vessels and microcirculation, with a prevalence of 6%. A personalized medicine approach should be performed whereby patients with different angina subtypes, defined by the results of coronary functional tests, can benefit from an individualized and targeted therapy. A greater flow of research is required to determine if this approach can lead the patient to clinical benefits. The more generalized invasive tests allow the identification of diagnostic subgroups for the development of targeted therapies guided by mechanistic studies. The therapeutic management depends on the cause that originates it, if it becomes identified. The prognosis is variable, depending on the cause, and in many cases it is similar to those cases with coronary obstruction. The correct diagnosis of the underlying cause of angina allows the precise, specific and stratified treatment of the different types of etiological cause. This way of acting has shown that this approach is safe, feasible and with demonstrable benefits for patients with MINOCA.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infarto del miocardio]]></kwd>
<kwd lng="es"><![CDATA[MINOCA]]></kwd>
<kwd lng="es"><![CDATA[vasoespasmo coronario]]></kwd>
<kwd lng="es"><![CDATA[microcirculación.]]></kwd>
<kwd lng="en"><![CDATA[Acute myocardial infarction]]></kwd>
<kwd lng="en"><![CDATA[MINOCA]]></kwd>
<kwd lng="en"><![CDATA[coronary vasospasm]]></kwd>
<kwd lng="en"><![CDATA[microcirculation.]]></kwd>
</kwd-group>
</article-meta>
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