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Elevated ECV Flags Higher MACE Risk in True MINOCA: CMR Study Reveals Prognostic Clue

20 Jun 2025 • A new study highlights extracellular volume (ECV) from cardiac MRI as a key prognostic marker in MINOCA.

Key Findings:

  • Patients with “true” MINOCA had higher ECV (29.10%) than those with other etiologies (26.00%), and nearly 30% experienced major adverse cardiovascular events (MACE) over 26.6 months.
  • ECV >28.94% significantly increased MACE risk (HR 1.063).

These findings spotlight ECV as a valuable biomarker for identifying high-risk MINOCA patients and refining prognosis.

Source: International Journal of Cardiology | Read Full Story

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