#DOMINO registry on MINOCA presented by @DoryMD #ESCCongress with senior author @anagalmeida1 ➡️ prospective, international registry of 365 MINOCA patients across 17 centres in 13 countries (2023–2025), designed to measure how often @escardio guideline-recommended advanced testing (CMR, intracoronary imaging, invasive functional assessment) is actually used in real-world practice, and whether it’s linked to reaching a specific etiologic diagnosis. Congratulations to Doralise and the entire group! 🔥 5 key points 🔥 1.Testing was underused, 30.4% got no advanced testing, 34.2% no CMR, 95.1% no functional assessment, with use ranging 0–100% across countries. 2.Testing was linked to reaching a diagnosis, OR ~3.7–3.9, significant in two of three models, with resolution rising stepwise from 85.6% to 97.1%. 3.The link is partly definitional, since CMR and functional testing are themselves used to assign diagnoses, so part of the benefit is circular. 4.The sex gap in CMR is explained by age, women were ~14 years older, and the disparity vanished after age adjustment. 5.A treatment gap persists after diagnosis, e.g. calcium channel blockers newly prescribed in only 25% of eligible spasm/microvascular patients. #MINOCA #Cardiology #CardioTwitter #CMR #CardiacMRI #MultimodalityImaging #CardiovascularImaging #HeartHealth #ESCGuidelines #GuidelineAdherence #WomensHeartHealth #SexDisparities #CardioEd #ChestPain #AcuteCoronarySyndrome #PreventiveCardiology #CardiovascularResearch #EurHeartJ #DOMINOregistry #HeartTeam