{"id":1273,"date":"2023-04-19T10:17:08","date_gmt":"2023-04-19T07:17:08","guid":{"rendered":"https:\/\/www.nutrific.ro\/blog\/?p=1273"},"modified":"2023-04-19T10:17:09","modified_gmt":"2023-04-19T07:17:09","slug":"infarctul-minoca-dusmanul-din-umbra","status":"publish","type":"post","link":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/","title":{"rendered":"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Statistica \u00een ceea ce prive\u0219te <strong>afec\u021biunile cardiovasculare<\/strong> \u00een r\u00e2ndul rom\u00e2nilor nu este deloc \u00eencurajatoare. Din p\u0103cate, <strong>bolile aparatului circulator<\/strong> r\u0103m\u00e2n principala cauz\u0103 de deces din \u021bara noastr\u0103. Conform rapoartelor realizate \u00een aceast\u0103 direc\u021bie de c\u0103tre organismele calificate, num\u0103rul deceselor cauzate de <strong>infarctul miocardic<\/strong> \u00een <strong>Rom\u00e2nia<\/strong> este mai mare dec\u00e2t media european\u0103. Tot conform statisticilor, se pare c\u0103 <strong>1<\/strong> <strong>din 5 pacien\u021bi<\/strong> care supravie\u021buiesc unui <strong>infarct miocardic<\/strong> vor suferi un alt <strong>eveniment cardiac<\/strong>, \u00eentr-un interval de timp relativ scurt, <strong>cauza principal\u0103<\/strong> a acestui fapt fiind aceea c\u0103 pacien\u021bii revin la stilul de via\u021b\u0103 nociv practicat anterior infarctului.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chiar dac\u0103 r\u00e2ndurile de mai sus sun\u0103 foarte descurajator, vestea bun\u0103 e c\u0103 <strong>preven\u021bia este esen\u021bial\u0103<\/strong> \u0219i \u021bine de fiecare \u00een parte s\u0103 o aplice \u00een dreptul s\u0103u. \u00centr-adev\u0103r, <strong>ereditatea<\/strong>, <strong>sexul<\/strong> \u0219i <strong>v\u00e2rsta<\/strong> nu pot fi influen\u021bate, \u00een schimb <strong>factorii de risc<\/strong> precum <strong>alimenta\u021bia nepotrivit\u0103<\/strong>, <strong>diabetul<\/strong>, <strong>consumul de tutun\/alcool<\/strong>, <strong>sedentarismul<\/strong>, <strong>stresul<\/strong>, <strong>obezitatea<\/strong>, <strong>hipertensiunea arterial\u0103<\/strong>, <strong>colesterolul LDL ridicat<\/strong>, pot fi pre\u00eent\u00e2mpina\u021bi.\u00a0<\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Recomandare:<\/strong> \u201d<a href=\"https:\/\/www.nutrific.ro\/blog\/alimentele-benefice-pentru-circulatia-sangelui-si-sanatatea-inimii\/\" target=\"_blank\" rel=\"noreferrer noopener\">Alimente benefice pentru circula\u021bia s\u00e2ngelui \u0219i s\u0103n\u0103tatea inimii<\/a>\u201d <\/p>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\"><strong><em>Ce este infarctul MINOCA\/Myocardial Infarction with Non-Obstructive Coronary Arteries\/ Infarctul miocardic cu artere coronare non-obstructive sau Infarctul miocardic cu artere coronare permeabile<\/em><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Potrivit speciali\u0219tilor, <strong>MINOCA \u2013 Infarctul Miocardic cu artere coronare non-obstructive<\/strong> este influen\u021bat de un grup eterogen de tulbur\u0103ri vasculare sau miocardice. Este o condi\u021bie <strong>dificil de diagnosticat<\/strong>, \u00eent\u00e2lnit\u0103 cu prec\u0103dere \u00een r\u00e2ndul <strong>persoanelor tinere<\/strong>, mai ales \u00een r\u00e2ndul <strong>femeilor<\/strong>. Ce este surprinz\u0103tor \u00een cazul <strong>MINOCA<\/strong> e c\u0103 factorii de risc care influen\u021beaz\u0103 majoritatea <strong>bolilor cardiovasculare<\/strong> (diabet, hipertensiune, colesterol crescut, etc.) nu sunt semnala\u021bi \u00een acest caz.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><strong><em>Care sunt factorii de risc \u00een cazul infarctului miocardic cu artere coronare non-obstructive<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dup\u0103 cum notam anterior, se pare c\u0103 <strong>femeile sunt mai predispuse la MINOCA<\/strong> dec\u00e2t b\u0103rba\u021bii. <strong>Studiile<\/strong> relateaz\u0103 c\u0103 femeile sunt de cinci ori mai expuse de a suferi un <strong>infarct MINOCA<\/strong>, \u00een compara\u021bie cu b\u0103rba\u021bii, iar v\u00e2rstele la care acest lucru se petrece nu sunt foarte \u00eenaintate, ba dimpotriv\u0103. Probabil te vei \u00eentreba: dac\u0103 problemele de s\u0103n\u0103tate precum obezitatea, fumatul, colesterolul crescut, hipertensiunea arterial\u0103 nu influen\u021beaz\u0103 declan\u0219area <strong>infarctului MINOCA<\/strong>, atunci care ar putea fi <strong>factorii de risc<\/strong>? Cardiologii sunt de p\u0103rere c\u0103 printre factorii de risc ai <strong>MINOCA<\/strong> s-ar num\u0103ra: anemiile, problemele legate de coagularea s\u00e2ngelui, cancerul, depresia, afec\u021biunile autoimune, disfunc\u021biile tiroidiene, deregl\u0103rile hormonale, bolile infec\u021bioase, aritmii cardiace.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><strong><em>Cauzele MINOCA<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Conform <strong>statisticilor<\/strong>, <strong>MINOCA<\/strong> reprezint\u0103 aproximativ <strong>10% <\/strong>din sindroamele coronariene acute. <strong>Cauzele MINOCA<\/strong> sunt multiple \u0219i, \u00een func\u021bie de mecanismul patologic, pot fi clasificate \u00een <strong>epicardice<\/strong> (plac\u0103 instabil\u0103 nedetectabil\u0103 la angiografie, spasm epicardic \u0219i disec\u021bie coronarian\u0103) \u0219i <strong>microvasculare<\/strong> (cauze intrinseci &#8211; spasm microvascular, sindrom Takotsubo, embolism coronarian \u0219i cauze extrinseci &#8211; miocardit\u0103).<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><strong><em>Infarctul MINOCA \u2013 principalele simptome<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Simptomele MINOCA<\/strong> sunt foarte asem\u0103n\u0103toare cu cele ale unui <strong>atac de cord<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>senza\u021bia de presiune \u0219i durere persistent\u0103 la nivelul pieptului;<\/li>\n\n\n\n<li>durerea care este resim\u021bit\u0103 \u00een bra\u021b \u0219i care se poate \u00eentinde \u00eenspre g\u00e2t, maxilar sau chiar spate;<\/li>\n\n\n\n<li>respira\u021bie \u00eengreunat\u0103 sau \u0219uier\u0103toare \u00eenso\u021bit\u0103 (sau nu) de tuse;<\/li>\n\n\n\n<li>transpira\u021bie abundent\u0103;<\/li>\n\n\n\n<li>grea\u021b\u0103 \u0219i v\u0103rs\u0103turi;<\/li>\n\n\n\n<li>ame\u021beal\u0103;<\/li>\n\n\n\n<li>atac de panic\u0103.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen situa\u021bia \u00een care aceste simptome sunt prezente, se impune c\u00e2t mai urgent un <strong>consult medical de specialitate<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><strong><em>Infarctul MINOCA \u2013 criterii de diagnosticare<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Este foarte important s\u0103 se descopere <strong>cauzele certe ale bolii<\/strong>, iar pentru ca acest lucru s\u0103 fie posibil se impun mai multe <strong>teste<\/strong> \u0219i <strong>investiga\u021bii medicale<\/strong>, cele mai importante de pe list\u0103 fiind urm\u0103toarele:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>coronarografia;<\/li>\n\n\n\n<li>ecografia cardiac;<\/li>\n\n\n\n<li>ventriculografia cardiac\u0103;<\/li>\n\n\n\n<li>electrocardiograma;<\/li>\n\n\n\n<li>RMN\/Rezonan\u021ba Magnetic\u0103 Nuclear\u0103.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><strong><em>Cum se poate preveni \u0219i trata infarctul MINOCA<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen ceea ce prive\u0219te <strong>tratamentul MINOCA<\/strong>, recomand\u0103rile medicilor sunt personalizate pentru fiecare caz \u00een parte \u00een func\u021bie de cauzele care au dus la declan\u0219area problemei. De obicei, <strong>schemele de tratament<\/strong> includ administrarea de statine \u0219i beta-blocante, inhibitori ECA, blocante ale canalelor de calciu, blocan\u021bi ai receptorilor de angiotensin\u0103, acid acetilsalicilic.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1000\" height=\"600\" src=\"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/MINOCA-infarct.png\" alt=\"Infarctul MINOCA\" class=\"wp-image-1275\" title=\"Infarctul MINOCA\" srcset=\"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/MINOCA-infarct.png 1000w, https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/MINOCA-infarct-300x180.png 300w, https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/MINOCA-infarct-768x461.png 768w, https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/MINOCA-infarct-585x351.png 585w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading has-text-align-center\"><strong><em>Povestea Ritei Conrad sau despre via\u021ba cu MINOCA<\/em><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rita Conrad<\/strong> \u00ee\u0219i lua r\u0103mas bun de la prieteni \u00een parcarea unui restaurant mexican c\u00e2nd a \u00eenceput s\u0103 se simt\u0103 o <strong>oboseal\u0103 accentuat\u0103<\/strong> \u0219i un <strong>disconfort \u00een zona pieptului<\/strong>. Era 10:30 P.M. \u00eentr-o sear\u0103 de joi, a\u0219a c\u0103 a presupus c\u0103 se simte a\u0219a din cauza orei t\u00e2rzii \u0219i a cinei destul de picante. \u00cens\u0103, c\u00e2nd a ajuns acas\u0103, a \u00eenceput s\u0103 simt\u0103 <strong>disconfort<\/strong> \u0219i \u00een <strong>spate<\/strong>, <strong>umeri<\/strong> \u0219i <strong>piept<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u201eNu a fost o durere ascu\u021bit\u0103, ca un junghi\u201d<\/em>, \u00ee\u0219i aminte\u0219te ea <em>\u201eci mai degrab\u0103 ca o ghear\u0103 \u00een piept, destul de incomod\u0103\u201d<\/em>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Apoi, starea de disconfort s-a accentuat, so\u021bul a vrut s\u0103 o duc\u0103 la spital, \u00eens\u0103 Rita a insistat c\u0103 era de la <strong>oboseal\u0103<\/strong>, a luat o <strong>aspirin\u0103<\/strong> \u0219i s-a \u00eentins. <strong>Simptomele<\/strong> au \u00eencetat \u0219i, \u00een cele din urm\u0103, femeia a adormit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rita care, la momentul respectiv avea <strong>51 de ani<\/strong>, \u0219i era o <strong>femeie s\u0103n\u0103toas\u0103<\/strong>, nu \u0219tia c\u0103 tocmai suferise de acest <strong>tip neobi\u0219nuit de atac de cord<\/strong> numit <strong>MINOCA<\/strong>, ce d\u0103 b\u0103t\u0103i de cap <strong>medicilor <\/strong>\u0219i le afecteaz\u0103 mai des pe <strong>femei<\/strong>, dec\u00e2t pe b\u0103rba\u021bi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">***<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dup\u0103 cum notam mai sus, <strong>MINOCA<\/strong> \u00eenseamn\u0103 <strong>infarct miocardic cu artere coronare non-obstructive<\/strong>. A\u0219a cum sugereaz\u0103 \u0219i numele, este un <strong>tip de atac de cord f\u0103r\u0103 blocaje<\/strong> (obstruc\u021bii) \u00een <strong>principalele artere coronare<\/strong>. O afec\u021biune \u00eenrudit\u0103, numit\u0103 <strong>INOCA<\/strong> (ischemie cu artere coronare neobstruc\u021bionate), are multe dintre acelea\u0219i simptome, \u00eens\u0103 f\u0103r\u0103 prezen\u021ba atacului de cord propriu-zis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De obicei, \u00een momentul \u00een care diagnosticheaz\u0103 un <strong>atac de cord<\/strong>, medicii caut\u0103 <strong>blocaje \u00een arterele coronare principale<\/strong>. Dac\u0103 acestea exist\u0103, medicii folosesc diverse metode (cum ar fi opera\u021bia de bypass, angioplastia sau stenturile) pentru a restabili <strong>fluxul sanguin<\/strong>. Apoi prescriu <strong>medicamente<\/strong>, recomand\u0103 <strong>modific\u0103ri semnificative ale stilului de via\u021b\u0103<\/strong>, schimbarea dietei, introducerea exerci\u021biilor fizice, toate acestea pentru a preveni formarea mai multor pl\u0103ci arteriale \u0219i cheaguri.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rita, protagonista articolului publicat pe portalul WebMD avea deja un <strong>stil de via\u021b\u0103 s\u0103n\u0103tos<\/strong>. Era <strong>vegetarian\u0103<\/strong>, se bucura de o <strong>tensiune arterial\u0103<\/strong> \u0219i de un <strong>colesterol<\/strong> \u00een limite normale, f\u0103cea mult\u0103 <strong>mi\u0219care<\/strong>, iar \u00een familia sa nu existau antecedente de <strong>afec\u021biuni cardiace<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A doua zi dup\u0103 incidentul descris anterior, Rita a mers la medicul de familie pentru a-i relata episodul. Acesta i-a spus c\u0103 cel mai probabil suferise un <strong>atac de cord<\/strong>, iar cea mai bun\u0103 decizie ar fi s\u0103 mearg\u0103 la <strong>urgen\u021be<\/strong>. Ulterior, un <strong>test de s\u00e2nge<\/strong> care a ar\u0103tat niveluri crescute ale proteinei denumit\u0103 <strong>troponin\u0103<\/strong> a confirmat p\u0103rerea medicului. Rita a fost internat\u0103 \u0219i i s-a f\u0103cut o <strong>angiografie<\/strong>, adic\u0103 un test de imagistic\u0103 \u00een care sunt utilizate razele X pentru a putea fi vizualizate vasele de s\u00e2nge. Surpriz\u0103: \u00een arterele coronare principale nu era niciun semn de plac\u0103!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">***<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Potrivit medicului <strong>C. Noel Bairey Merz<\/strong>, director al <strong>Centrului de Cardiologie pentru femei Barbra Streisand de la Cedars-Sinai Medical, Los Angeles<\/strong>,<strong> MINOCA<\/strong> poate reprezenta p\u00e2n\u0103 la <strong>25%<\/strong> &#8211; <strong>30% <\/strong>din toate atacurile de cord la femei (\u0219i mai pu\u021bin de 10% la b\u0103rba\u021bi). <strong>Simptomele MINOCA<\/strong> sunt acelea\u0219i cu cele ale unui <strong>atac de cord clasic<\/strong> care se \u00eent\u00e2mpl\u0103 la cineva cu boal\u0103 coronarian\u0103. \u00cen cazul MINOCA, \u00een urma investiga\u021biilor nu se g\u0103sesc <strong>blocaje \u00een arterele coronare principale<\/strong> \u0219i deseori pacien\u021bii p\u0103r\u0103sesc spitalul nesiguri cu privire la ce a cauzat atacul lor de cord MINOCA \u0219i cum vor putea s\u0103 previn\u0103 altul, pe viitor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">***<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen urm\u0103torii trei ani, <strong>Rita Conrad<\/strong> se pare c\u0103 a mai avut vreo 20 de episoade similare, \u00eens\u0103 niciunul nu a fost la fel de serios ca primul \u0219i, din c\u00e2te i s-a spus, nu au fost atacuri de cord propriu-zise. A mai vizitat de trei ori camera de urgen\u021b\u0103, dar dup\u0103 ce a fost trimis\u0103 acas\u0103, cum s-a \u00eent\u00e2mplat \u0219i prima oar\u0103, a \u00eencetat s\u0103 mearg\u0103.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ulterior, a luat leg\u0103tura cu un <strong>cardiolog<\/strong> care a suspectat <strong>spasme \u00een peretele arterei coronare<\/strong> \u0219i i-a prescris nitroglicerin\u0103 pentru durerea \u00een piept (angin\u0103 pectoral\u0103). \u00cen cele din urm\u0103, ea \u0219i-a p\u0103r\u0103sit locul de munc\u0103 deoarece se temea c\u0103 stresul ar putea contribui la starea sa.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u201eMi-am spus: ei bine, asta e ceva cu care va trebui s\u0103 tr\u0103iesc\u201d<\/em>, a m\u0103rturisit Rita.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">***<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><strong><em>Consecin\u021be?<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La fel cum s-a \u00eent\u00e2mplat \u00een cazul Ritei Conrad, at\u00e2t MINOCA, c\u00e2t \u0219i INOCA (ischemie cu artere coronare neobstruc\u021bionate) pot afecta grav via\u021ba unei persoane.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Iat\u0103 concluziile unui <strong>sondaj publicat \u00een ianuarie 2023<\/strong>, din care au f\u0103cut parte <strong>297 de perso<\/strong>ane dintr-un grup interna\u021bional de sprijin pentru pacien\u021bii cu INOCA:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>34%<\/strong> au tr\u0103it cu simptome de <strong>durere \u00een piept<\/strong>, presiune sau disconfort cu mai mult de <strong>3<\/strong> ani \u00eenainte de <strong>diagnosticul INOCA<\/strong>;<\/li>\n\n\n\n<li><strong>78%<\/strong> au fost informa\u021bi, la un moment, dat c\u0103 <strong>simptomele<\/strong> lor nu au leg\u0103tur\u0103 cu <strong>inima<\/strong>;<\/li>\n\n\n\n<li><strong>75%<\/strong> \u0219i-au redus <strong>programul de lucru<\/strong> sau au \u00eencetat s\u0103 lucreze din cauza st\u0103rii de s\u0103n\u0103tate;<\/li>\n\n\n\n<li>aproximativ <strong>70%<\/strong> au spus c\u0103 s\u0103n\u0103tatea lor mintal\u0103 \u0219i perspectivele de via\u021b\u0103 au sc\u0103zut;<\/li>\n\n\n\n<li>Mai mult de jum\u0103tate (<strong>54%<\/strong>) au spus c\u0103 <strong>simptomele<\/strong> le-au afectat negativ rela\u021bia cu partenerul de via\u021b\u0103.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><strong><em>Ce spun medicii \u0219i studiile f\u0103cute de ei c\u0103 s-ar \u00eent\u00e2mpla la nivelul inimii \u00een cazul MINOCA<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Medicul cardiolog <strong>Harmony Reynolds<\/strong> de la <strong>NYU Langone Health<\/strong> \u0219i colegii s\u0103i au studiat recent vasele de s\u00e2nge a <strong>301 femei<\/strong> care au avut <strong>atacuri de cord<\/strong>. \u00cen <strong>studiul <\/strong>lor, publicat \u00een <strong>2021<\/strong>, ace\u0219tia au adoptat o abordare diferit\u0103. \u00cen loc s\u0103 foloseasc\u0103 <strong>angiografia <\/strong>tipic\u0103 pentru a c\u0103uta <strong>placa arterial\u0103<\/strong>, au folosit diferite <strong>forme de imagistic\u0103 cu rezolu\u021bii mai mari<\/strong>. Acest lucru le-a permis s\u0103 priveasc\u0103 dincolo de arterele coronare principale \u0219i s\u0103 caute probleme \u00een alt\u0103 parte. Cu <strong>85%<\/strong> dintre <strong>pacien\u021bii cu MINOCA<\/strong> \u00een studiu, ace\u0219tia au putut atribui <strong>atacurile de cord<\/strong> <strong>pl\u0103cilor <\/strong>de dimensiuni reduse \u0219i <strong>cheagurilor<\/strong> din <strong>vasele de s\u00e2nge mai mici<\/strong>.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"1000\" height=\"600\" src=\"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-medic.png\" alt=\"infarctul MINOCA\" class=\"wp-image-1277\" title=\"Infarctul MINOCA\" srcset=\"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-medic.png 1000w, https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-medic-300x180.png 300w, https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-medic-768x461.png 768w, https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-medic-585x351.png 585w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><em>\u201eSistemul arterial seam\u0103n\u0103 foarte mult cu un copac\u201d<\/em>, spune <strong>dr. Harmony Reynolds<\/strong>. <em>\u201eAre trunchiuri mari \u0219i ramuri din ce \u00een ce mai mici. Dac\u0103 se formeaz\u0103 un <strong>cheag<\/strong> \u00een trunchi, acesta poate fi transportat \u00eentr-o ramur\u0103 mai mic\u0103. Dac\u0103 cheagul este suficient de mare, poate distruge \u00eentreaga ramur\u0103 \u0219i poate ucide o mic\u0103 parte a <strong>inimii<\/strong>, a mu\u0219chiului. Asta b\u0103nuim c\u0103 se \u00eent\u00e2mpl\u0103 \u00een cazul unor pacien\u021bi <strong>MINOCA<\/strong>.&#8221;<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pacien\u021bilor cu <strong>infarct miocardic cu artere coronare non-obstructive<\/strong> li se spune adesea: <em>\u201eNu a\u021bi avut un atac de cord\u201d<\/em>, noteaz\u0103 Reynolds. <em>\u201eStudiul nostru arat\u0103 c\u0103 de cele mai multe ori acest lucru nu este corect. <strong>Diagnosticele gre\u0219ite pot pune via\u021ba \u00een pericol.<\/strong> \u00cen circa patru ani dup\u0103 ce cineva are un eveniment MINOCA, exist\u0103 o probabilitate de <strong>13% <\/strong>s\u0103 moar\u0103 din orice cauz\u0103 \u0219i o una de <strong>7% <\/strong>s\u0103 aib\u0103 un alt <strong>atac de cord.<\/strong>\u201d<\/em><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><strong><em>De ce cauzele de MINOCA sunt \u00een continu\u0103 cre\u0219tere?<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ceea ce acum se cunoa\u0219te drept <strong>MINOCA &#8211; Infarctul Miocardic cu artere coronare non-obstructive<\/strong>, a fost descris pentru prima dat\u0103 cu zeci de ani \u00een urm\u0103. Scriind \u00een <strong>Arhivele de Medicin\u0103 Intern\u0103<\/strong> din <strong>1939<\/strong>, <strong>doi medici din New York<\/strong> au notat rapoarte despre autopsii ale pacien\u021bilor cu <strong>atac de cord cu boal\u0103 arterial\u0103 coronarian\u0103 minim\u0103 sau deloc<\/strong>. Exist\u0103 dou\u0103 motive principale pentru care se discut\u0103 mai mult acum despre MINOCA:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00een primul r\u00e2nd, noile tehnologii, cum ar fi <strong>testele cu troponin\u0103<\/strong> de \u00eenalt\u0103 sensibilitate, sunt mult mai bune \u00een detectarea atacurilor de cord mici. Dar <strong>sistemele de imagistic\u0103<\/strong> disponibile \u00een majoritatea spitalelor nu rezolv\u0103 mare lucru \u0219i de aceea medicii sunt nedumeri\u021bi cu privire la nivelurile ridicate de troponine care indic\u0103 un atac de cord \u0219i angiografiile care arat\u0103 arterele coronare clare;<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00een al doilea r\u00e2nd, stereotipurile vechi despre persoanele care sufer\u0103 de <strong>boli de inim\u0103<\/strong> s-au schimbat. Acum se \u0219tie c\u0103 <strong>afec\u021biunile cardiace<\/strong> reprezint\u0103 principala cauz\u0103 de deces pentru b\u0103rba\u021bi \u0219i femei deopotriv\u0103. Nu cu mult timp \u00een urm\u0103, <strong>atacurile de cord<\/strong> erau considerate \u00een mod incorect un lucru&#8230; masculin, iar femeile care c\u0103utau \u00eengrijire medical\u0103 pentru simptome similare erau adesea respinse. Li se spunea c\u0103 sufer\u0103 din pricina nervilor \u0219i li se prescria mult\u0103 <strong>odihn\u0103<\/strong>. Medicii \u0219i grupurile de suport au lucrat mult pentru a corecta aceste concep\u021bii gre\u0219ite. Pe m\u0103sur\u0103 ce tot mai multe femei \u00een\u021beleg mesajul, cre\u0219te num\u0103rul celor care se prezint\u0103 la urgen\u021be cu probabilitatea unui atac de cord.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u201eAzi, c\u00e2nd o femeie vine la camera de urgen\u021b\u0103 pl\u00e2ng\u00e2ndu-se de dureri \u00een piept, este mai probabil ca acum 20 de ani s\u0103 i se fac\u0103 rapid un EKG \u0219i un test de troponin\u0103 din s\u00e2nge\u201d<\/em>, spune <strong>cardiologul Bairey Merz<\/strong> de la Cedar-Sinai.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"1000\" height=\"600\" src=\"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-investigatii-1.png\" alt=\"infarctul MINOCA investigatii\" class=\"wp-image-1280\" title=\"infarctul MINOCA investigatii\" srcset=\"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-investigatii-1.png 1000w, https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-investigatii-1-300x180.png 300w, https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-investigatii-1-768x461.png 768w, https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-investigatii-1-585x351.png 585w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Cercet\u0103torii nu sunt siguri de ce MINOCA \u0219i INOCA sunt mai frecvente la femei dec\u00e2t la b\u0103rba\u021bi. Medicii Reynolds \u0219i Bairey Merz b\u0103nuiesc c\u0103 acest lucru s-ar putea datora hormonilor, terapiei hormonale sau simplului fapt c\u0103 femeile sunt fizic mai mici, \u00een medie, dec\u00e2t b\u0103rba\u021bii. Inimile \u0219i vasele de s\u00e2nge ale femeilor sunt de obicei mai mici, astfel \u00eenc\u00e2t blocajele arteriale \u0219i cheagurile care nu pot ap\u0103rea la imagistica conven\u021bional\u0103 pot provoca mai multe daune.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cens\u0103 nu toate cazurile MINOCA \u0219i INOCA sunt cauzate de acumularea \u0219i ruperea pl\u0103cilor \u00een arterele mici ale inimii. Toat\u0103 lumea are o plac\u0103, dar c\u00e2nd este situat\u0103 \u00een arterele mici, ocup\u0103 mai mult spa\u021biu disponibil. Exist\u0103 \u0219i alte cauze poten\u021biale. De exemplu, interiorul peretelui unei artere se poate rupe \u0219i poate provoca un blocaj care se simte ca un atac de cord clasic. Aceasta este cunoscut\u0103 sub denumirea de disec\u021bie spontan\u0103 a arterei coronare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alteori, vasele de s\u00e2nge pot avea <strong>spasme<\/strong>, ceea ce \u00eentrerupe fluxul sanguin normal \u0219i produce <strong>simptome asem\u0103n\u0103toare atacului de cord<\/strong>. Totu\u0219i, alte cauze poten\u021biale includ <strong>miocardita<\/strong> (o inflama\u021bie a mu\u0219chiului inimii) \u0219i <strong>cardiomiopatia de stres<\/strong> (o reac\u021bie la un val de adrenalin\u0103). Medicii Reynolds \u0219i Bairey Merz \u00ee\u0219i \u00eencurajeaz\u0103 colegii cardiologi s\u0103 ia \u00een considerare toate aceste posibilit\u0103\u021bi atunci c\u00e2nd un pacient (fie c\u0103 este femeie, fie c\u0103 este b\u0103rbat) cu artere deschise are un atac de cord sau dureri cronice \u00een piept.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">***<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dup\u0103 ce ani de zile nu i s-a atribuit un diagnostic precis, <strong>Rita Conrad<\/strong> urm\u0103rea \u00eent\u00e2mpl\u0103tor un interviu cu <strong>medicul Purvi Parwani<\/strong>, director al Clinicii pentru s\u0103n\u0103tatea inimii femeilor de la \u201dLoma Linda University\u201d din California.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u201eAm r\u0103mas surprins\u0103 c\u00e2nd, \u00een timpul interviului, respectivul medic mi-a descris exact simptomele\u201d,<\/em> spune Rita. Ea \u0219i-a f\u0103cut rapid o programare pentru a se \u00eent\u00e2lni cu <strong>dr. Parwani<\/strong> care a diagnosticat-o cu <strong>MINOCA<\/strong>, av\u00e2nd drept cauz\u0103 o angin\u0103 vasospastic\u0103 (spasm arterial) \u0219i i-a prescris medicamente (ranolazin\u0103) pentru a o gestiona.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u201dAcum, situa\u021bia mea este mult mai bun\u0103 \u00een ceea ce prive\u0219te s\u0103n\u0103tatea inimii. Episoadele de MINOCA au sc\u0103zut dramatic. Lucrez din nou \u0219i c\u0103l\u0103toresc \u00eempreun\u0103 cu so\u021bul meu. Cu alte cuvinte, tr\u0103iesc \u0219i m\u0103 bucur de via\u021b\u0103, f\u0103r\u0103 team\u0103!\u201d<\/em> (Rita Conrad)<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\"><strong>\u00cen loc de concluzie<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen loc de concluzie \u00eendr\u0103znim s\u0103 repet\u0103m un <strong>\u00eendemn<\/strong> pe care l-am notat mai sus: \u00een situa\u021bia \u00een care ai o senza\u021bie accentuat\u0103 de presiune \u0219i durere persistent\u0103 la nivelul pieptului, durere care este resim\u021bit\u0103 \u00een bra\u021b \u0219i care se poate \u00eentinde \u00eenspre g\u00e2t, maxilar sau chiar spate, respira\u021bie \u00eengreunat\u0103 sau \u0219uier\u0103toare \u00eenso\u021bit\u0103 (sau nu) de tuse, transpira\u021bie abundent\u0103, grea\u021b\u0103 \u0219i v\u0103rs\u0103turi, ame\u021beal\u0103, mergi imediat la camera de urgen\u021b\u0103 pentru un <strong>consult medical de specialitate<\/strong>. De asemenea, un <strong>stil de via\u021b\u0103<\/strong> din care fac parte <strong>alimenta\u021bia care favorizeaz\u0103 s\u0103n\u0103tatea inimii<\/strong>, administrarea suplimentelor alimentare de calitate, activitatea fizic\u0103 practicat\u0103 frecvent, g\u00e2ndurile optimiste, grija pentru propria stare de bine, are toate \u0219ansele s\u0103 \u021bin\u0103 bolile la distan\u021b\u0103. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Referin\u021be:<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.romanianjournalcardiology.ro\/\">https:\/\/www.romanianjournalcardiology.ro\/<\/a> :<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u201dGhidul Societ\u0103\u0163ii Europene de Cardiologie pentru managementul infarctului miocardic acut cu supradenivelare de segment ST \u2013 2017\u201d<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u201dFinding the specific etiology in myocardial infarction with non-obstructive coronary arteries disease (MINOCA) and the best therapeutic approaches \u2013 a case report\u201d<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>MINOCA de la A la Z &#8211; <\/em><a href=\"https:\/\/www.acc.org\/latest-in-cardiology\/articles\/2022\/01\/05\/17\/41\/minoca-from-a-to-z\">https:\/\/www.acc.org\/latest-in-cardiology\/articles\/2022\/01\/05\/17\/41\/minoca-from-a-to-z<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6151970\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6151970\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7270909\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7270909\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.webmd.com\/heart-disease\/story\/MINOCA-heart-attack\">https:\/\/www.webmd.com\/heart-disease\/story\/MINOCA-heart-attack<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Statistica \u00een ceea ce prive\u0219te afec\u021biunile cardiovasculare \u00een r\u00e2ndul rom\u00e2nilor nu este deloc \u00eencurajatoare. Din p\u0103cate, bolile aparatului circulator r\u0103m\u00e2n principala cauz\u0103 de deces din \u021bara noastr\u0103. Conform rapoartelor realizate \u00een aceast\u0103 direc\u021bie de c\u0103tre organismele calificate, num\u0103rul deceselor cauzate de infarctul miocardic \u00een Rom\u00e2nia&#8230;<\/p>\n","protected":false},"author":2,"featured_media":1281,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[73],"tags":[233,231,234,232,193],"class_list":["post-1273","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sanatate","tag-atac-de-cord","tag-infarct-minoca","tag-infarctul-miocardic-cu-artere-coronare-non-obstructive","tag-minoca","tag-sanatatea-inimii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103 - Nutrific Blog<\/title>\n<meta name=\"description\" content=\"MINOCA \u2013 Infarctul Miocardic cu artere coronare non-obstructive este influen\u021bat de un grup eterogen de tulbur\u0103ri vasculare sau miocardice.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103 - Nutrific Blog\" \/>\n<meta property=\"og:description\" content=\"MINOCA \u2013 Infarctul Miocardic cu artere coronare non-obstructive este influen\u021bat de un grup eterogen de tulbur\u0103ri vasculare sau miocardice.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/\" \/>\n<meta property=\"og:site_name\" content=\"Nutrific Blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/program.nutrific\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-19T07:17:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-19T07:17:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-dusmanul-din-umbra.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Istrate Mihaela\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Istrate Mihaela\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"15 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/\"},\"author\":{\"name\":\"Istrate Mihaela\",\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/#\\\/schema\\\/person\\\/13c2838bb7d9f2ff873ffee2cd1b6894\"},\"headline\":\"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103\",\"datePublished\":\"2023-04-19T07:17:08+00:00\",\"dateModified\":\"2023-04-19T07:17:09+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/\"},\"wordCount\":2804,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/Infarct-MINOCA-dusmanul-din-umbra.png\",\"keywords\":[\"atac de cord\",\"infarct MINOCA\",\"Infarctul miocardic cu artere coronare non-obstructive\",\"MINOCA\",\"s\u0103n\u0103tatea inimii\"],\"articleSection\":[\"Sanatate\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/\",\"url\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/\",\"name\":\"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103 - Nutrific Blog\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/Infarct-MINOCA-dusmanul-din-umbra.png\",\"datePublished\":\"2023-04-19T07:17:08+00:00\",\"dateModified\":\"2023-04-19T07:17:09+00:00\",\"description\":\"MINOCA \u2013 Infarctul Miocardic cu artere coronare non-obstructive este influen\u021bat de un grup eterogen de tulbur\u0103ri vasculare sau miocardice.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/Infarct-MINOCA-dusmanul-din-umbra.png\",\"contentUrl\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/Infarct-MINOCA-dusmanul-din-umbra.png\",\"width\":1200,\"height\":675,\"caption\":\"infarct MINOCA\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/infarctul-minoca-dusmanul-din-umbra\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Prima pagin\u0103\",\"item\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/\",\"name\":\"Nutrific Blog\",\"description\":\"Nutri\u021bie \u0219i \u0219tiin\u021b\u0103\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ro-RO\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/#organization\",\"name\":\"Nutrific\",\"url\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/logo-nutrific-general-webcolor.png\",\"contentUrl\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/logo-nutrific-general-webcolor.png\",\"width\":928,\"height\":599,\"caption\":\"Nutrific\"},\"image\":{\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/program.nutrific\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/#\\\/schema\\\/person\\\/13c2838bb7d9f2ff873ffee2cd1b6894\",\"name\":\"Istrate Mihaela\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d184eac01891c49ef73f25cca7c7211b5872c9fc50cbdbbd024a929d256a362c?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d184eac01891c49ef73f25cca7c7211b5872c9fc50cbdbbd024a929d256a362c?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d184eac01891c49ef73f25cca7c7211b5872c9fc50cbdbbd024a929d256a362c?s=96&d=mm&r=g\",\"caption\":\"Istrate Mihaela\"},\"url\":\"https:\\\/\\\/www.nutrific.ro\\\/blog\\\/author\\\/mihaela\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103 - Nutrific Blog","description":"MINOCA \u2013 Infarctul Miocardic cu artere coronare non-obstructive este influen\u021bat de un grup eterogen de tulbur\u0103ri vasculare sau miocardice.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/","og_locale":"ro_RO","og_type":"article","og_title":"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103 - Nutrific Blog","og_description":"MINOCA \u2013 Infarctul Miocardic cu artere coronare non-obstructive este influen\u021bat de un grup eterogen de tulbur\u0103ri vasculare sau miocardice.","og_url":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/","og_site_name":"Nutrific Blog","article_publisher":"https:\/\/www.facebook.com\/program.nutrific","article_published_time":"2023-04-19T07:17:08+00:00","article_modified_time":"2023-04-19T07:17:09+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-dusmanul-din-umbra.png","type":"image\/png"}],"author":"Istrate Mihaela","twitter_card":"summary_large_image","twitter_misc":{"Scris de":"Istrate Mihaela","Timp estimat pentru citire":"15 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/#article","isPartOf":{"@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/"},"author":{"name":"Istrate Mihaela","@id":"https:\/\/www.nutrific.ro\/blog\/#\/schema\/person\/13c2838bb7d9f2ff873ffee2cd1b6894"},"headline":"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103","datePublished":"2023-04-19T07:17:08+00:00","dateModified":"2023-04-19T07:17:09+00:00","mainEntityOfPage":{"@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/"},"wordCount":2804,"commentCount":1,"publisher":{"@id":"https:\/\/www.nutrific.ro\/blog\/#organization"},"image":{"@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/#primaryimage"},"thumbnailUrl":"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-dusmanul-din-umbra.png","keywords":["atac de cord","infarct MINOCA","Infarctul miocardic cu artere coronare non-obstructive","MINOCA","s\u0103n\u0103tatea inimii"],"articleSection":["Sanatate"],"inLanguage":"ro-RO","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/","url":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/","name":"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103 - Nutrific Blog","isPartOf":{"@id":"https:\/\/www.nutrific.ro\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/#primaryimage"},"image":{"@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/#primaryimage"},"thumbnailUrl":"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-dusmanul-din-umbra.png","datePublished":"2023-04-19T07:17:08+00:00","dateModified":"2023-04-19T07:17:09+00:00","description":"MINOCA \u2013 Infarctul Miocardic cu artere coronare non-obstructive este influen\u021bat de un grup eterogen de tulbur\u0103ri vasculare sau miocardice.","breadcrumb":{"@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/#breadcrumb"},"inLanguage":"ro-RO","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/"]}]},{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/#primaryimage","url":"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-dusmanul-din-umbra.png","contentUrl":"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2023\/04\/Infarct-MINOCA-dusmanul-din-umbra.png","width":1200,"height":675,"caption":"infarct MINOCA"},{"@type":"BreadcrumbList","@id":"https:\/\/www.nutrific.ro\/blog\/infarctul-minoca-dusmanul-din-umbra\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Prima pagin\u0103","item":"https:\/\/www.nutrific.ro\/blog\/"},{"@type":"ListItem","position":2,"name":"Infarctul MINOCA \u2013 du\u0219manul din umbr\u0103"}]},{"@type":"WebSite","@id":"https:\/\/www.nutrific.ro\/blog\/#website","url":"https:\/\/www.nutrific.ro\/blog\/","name":"Nutrific Blog","description":"Nutri\u021bie \u0219i \u0219tiin\u021b\u0103","publisher":{"@id":"https:\/\/www.nutrific.ro\/blog\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.nutrific.ro\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ro-RO"},{"@type":"Organization","@id":"https:\/\/www.nutrific.ro\/blog\/#organization","name":"Nutrific","url":"https:\/\/www.nutrific.ro\/blog\/","logo":{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/www.nutrific.ro\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2022\/03\/logo-nutrific-general-webcolor.png","contentUrl":"https:\/\/www.nutrific.ro\/blog\/wp-content\/uploads\/2022\/03\/logo-nutrific-general-webcolor.png","width":928,"height":599,"caption":"Nutrific"},"image":{"@id":"https:\/\/www.nutrific.ro\/blog\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/program.nutrific"]},{"@type":"Person","@id":"https:\/\/www.nutrific.ro\/blog\/#\/schema\/person\/13c2838bb7d9f2ff873ffee2cd1b6894","name":"Istrate Mihaela","image":{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/secure.gravatar.com\/avatar\/d184eac01891c49ef73f25cca7c7211b5872c9fc50cbdbbd024a929d256a362c?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/d184eac01891c49ef73f25cca7c7211b5872c9fc50cbdbbd024a929d256a362c?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d184eac01891c49ef73f25cca7c7211b5872c9fc50cbdbbd024a929d256a362c?s=96&d=mm&r=g","caption":"Istrate Mihaela"},"url":"https:\/\/www.nutrific.ro\/blog\/author\/mihaela\/"}]}},"_links":{"self":[{"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/posts\/1273","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/comments?post=1273"}],"version-history":[{"count":3,"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/posts\/1273\/revisions"}],"predecessor-version":[{"id":1282,"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/posts\/1273\/revisions\/1282"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/media\/1281"}],"wp:attachment":[{"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/media?parent=1273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/categories?post=1273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nutrific.ro\/blog\/wp-json\/wp\/v2\/tags?post=1273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}