【摘要】 非阻塞性冠状动脉心肌梗死（MINOCA）是一组具有不同发病机制的异质性疾病，发病率占急性心肌梗死的1%～15%。MINOCA的发病机制较为复杂，目前尚无统一的定论，不同发病机制的MINOCA的预后亦不相同。本文结合国内外MINOCA的最新研究进展，深入综述了MINOCA的诊断及其发病机制，从多个方面对其预后进行阐述，分析其预测因素，为MINOCA早期诊断和精准治疗提供循证医学证据。更多还原

【Abstract】 Myocardial infarction with non-obstructive coronary arteries(MINOCA) is a heterogeneous group of diseases with different pathogenesis, accounting for 1%-15% of acute myocardial infarction. The pathogenesis of MINOCA is complex, and there is no unified conclusion yet, and the prognosis of MINOCA with different pathogenesis is also different.Based on the latest research progress of MINOCA at home and abroad, this paper reviews the diagnosis and pathogenesis of MINOCA in depth, expounds its prognosis from multiple aspects, analyzes its predictive factors, and provides evidence-based medical evidence for the early diagnosis and precise treatment of MINOCA.更多还原