Stratified treatment of myocardial infarction with non-obstructive coronary arteries: the PROMISE trial

In this first randomized trial of treatment strategies in MINOCA, a stratified treatment, based on comprehensive diagnostic assessment and aetiology-guided therapy, led to a significant improvement in angina-related health status. While the study findings provide the first evidence supporting individualized management in this heterogeneous and often under-recognized patient population, these results require confirmation in a larger prospective study with longer follow-up.

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Publication Details

Journal
European Heart Journal
Published
2025-10-26
DOI
https://doi.org/10.1093/eurheartj/ehaf917
Citations
9
Primary Topic
Cardiac Imaging and Diagnostics
Type
article
Field-Weighted Citation Impact
12.24
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article

Stratified treatment of myocardial infarction with non-obstructive coronary arteries: the PROMISE trial

Tommaso Sanna, Federico De Marco, Claudia Lucci, Giancarlo Marenzi et al.
9 citations
European Heart Journal
Cardiac Imaging and Diagnostics
12.24
article

Stratified treatment of myocardial infarction with non-obstructive coronary arteries: the PROMISE trial

Tommaso Sanna, Federico De Marco, Claudia Lucci, Giancarlo Marenzi, Nicola Cosentino, Giampaolo Niccoli, Francesco Bedogni, Filippo Crea, Simone Biscaglia, Andrea Caffè, Riccardo Gorla, Luca Testa, Antonio Maria Leone, Giovanna Liuzzo, Francesco Bedogni, Marta Resta, Giulia La Vecchia, Gianluca Calogero Campo, Filippo Luca Gurgoglione, Carlo Trani, Filippo Crea, Rocco Antonio Montone, Riccardo Rinaldi, Alice Bonanni, Francesco Burzotta, Federico De Marco, Vincenzo Scarica
article en
9 citations

Abstract

In this first randomized trial of treatment strategies in MINOCA, a stratified treatment, based on comprehensive diagnostic assessment and aetiology-guided therapy, led to a significant improvement in angina-related health status. While the study findings provide the first evidence supporting individualized management in this heterogeneous and often under-recognized patient population, these results require confirmation in a larger prospective study with longer follow-up.

European Heart JournalVol. 47(12)
Università Cattolica del Sacro Cuore (IT), University of Parma (IT), Agostino Gemelli University Polyclinic (IT), Centro Cardiologico Monzino (IT), IRCCS Policlinico San Donato (IT), Azienda Unità Sanitaria Locale di Ferrara (IT), University Hospitals Parma Medical Center (US), Arcispedale Sant'Anna (IT), University of the Sacred Heart (JP), Istituti di Ricovero e Cura a Carattere Scientifico (IT)
Openalex Percentile: Top 1%
Cardiac Imaging and Diagnostics
12.24
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