Optical coherence tomography plaque characterization in a patient with ST segment elevation myocardial infarction after cocaine intake:Cardiovascular Revascularization Medicine
| Autor: | Hansen, Morten, Antonsen, L., Jensen, L. O. |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Coronary Artery Disease/chemically induced Adult Coronary Thrombosis/chemically induced Optical coherence tomography Cocaine-Related Disorders/complications Coronary Vessels/diagnostic imaging ST Elevation Myocardial Infarction/chemically induced Plaque erosion Coronary Angiography Plaque Atherosclerotic Myocardial infarction Electrocardiography Cocaine Optical coherence tomography Cocaine Plaque erosion Myocardial infarction acute coronary syndrome in-vivo diagnosis erosion Cardiovascular System & Cardiology cardiovascular system Humans cardiovascular diseases Tomography Optical Coherence |
| Zdroj: | Hansen, M, Antonsen, L & Jensen, L O 2016, ' Optical coherence tomography plaque characterization in a patient with ST segment elevation myocardial infarction after cocaine intake : Cardiovascular Revascularization Medicine ', Cardiovascular Revascularization Medicine, vol. 17, no. 3, pp. 212-215 . https://doi.org/10.1016/j.carrev.2016.01.008 |
| DOI: | 10.1016/j.carrev.2016.01.008 |
| Popis: | A 28-year old man presented to the Emergency Department with malaise after cocaine intake. After arrival he developed retrosternal chest pain and the electrocardiogram showed ST segment elevations in V1-V2 and ST segment depressions in V5-V6. An acute coronary angiogram revealed a focal non-occlusive lesion with thrombus in the left anterior descending artery. Supplementary optical coherence tomography (OCT) detected plaque erosion with adherent thrombus to be the responsible underlying pathophysiological mechanism. The patient received an effective antithrombotic regimen. Repeat angiogram with additional OCT one month later documented thrombus resolution and complete restoration of the previously eroded coronary vascular surface area. |
| Databáze: | OpenAIRE |
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