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ORIGINAL RESEARCH article

Front. Public Health
Sec. Health Economics
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1407568
This article is part of the Research Topic Reviews in Public Health Expenditure and Performance View all 17 articles

Single -Centre Experience of Management of Myocardial Infarction with Nonobstructive Coronary Arteries (MINOCA) in German Patients -Implications for Hospital Resources and Health Care Economics

Provisionally accepted
Franz Haertel Franz Haertel *Carolin Montag Carolin Montag Thomas Kraeplin Thomas Kraeplin Berward Lauer Berward Lauer Nedim Memisevic Nedim Memisevic Sven Moebius -Winkler Sven Moebius -Winkler Christian Schulze Christian Schulze Sylvia Otto Sylvia Otto
  • Department of Cardiology, University Hospital Jena, Jena, Germany

The final, formatted version of the article will be published soon.

    Patients with myocardial infarction with non-obstructive coronary arteries (MINOCA) present with ≤ 50% stenosis on angiography despite acute coronary syndrome symptoms and biomarker elevation. We investigated MINOCA's hospital workflow, economic impact, and outcomes vs. myocardial infarction with obstructive coronary artery disease (MICAD) in a single-center study. Retrospectively analyzing 660 acute coronary syndrome cases (2017-2018), 118 were MINOCA and 542 MICAD. MICAD had higher in-hospital (11% vs. 0%; p<0.001) and 30-day mortality (17.3% vs. 4.2%; p<0.001). Although MINOCA had shorter hospital stays (9.5 ± 8.7 vs. 12.3 ± 10.5 days, p<0.01) and less high care monitoring (2.4 ± 2.1 vs. 4.7 ± 3.3 days, p<0.01), they still utilized significant resources, attributing a total sum of nearly 300 days in high - care monitoring days over 12 months. Despite lower treatment costs, MINOCA did not yield a profit, with 40% of costs attributed to high care monitoring. Given relatively low mortality and resource scarcity, MINOCA warrants attention for care refinement and resource allocation.

    Keywords: MINOCA, Hospital resources, ACS, High care monitoring, Intensive Care, Intermediate care Author Contributions: F.Haertel: Data collection, Conceptualization, manuscript writing

    Received: 26 Mar 2024; Accepted: 27 Aug 2024.

    Copyright: © 2024 Haertel, Montag, Kraeplin, Lauer, Memisevic, Moebius -Winkler, Schulze and Otto. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Franz Haertel, Department of Cardiology, University Hospital Jena, Jena, Germany

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