Aiden J C O'Loughlin1, Karen Byth. 1. Department of Interventional Cardiology, 300 Pasteur Drive, Room H2103, Stanford University Medical Center, Stanford, CA 94305, USA. aoloughlin@cvmed.stanford.edu
Abstract
BACKGROUND: Prediction of the location of culprit lesions responsible for ST-segment elevation myocardial infarctions may allow for prevention of these events by safe and easily deliverable local therapies. METHODS: A retrospective analysis of coronary movement was performed on coronary angiograms of patients who subsequently represented with ST-segment elevation myocardial infarction treated by primary or rescue angioplasty at a single institution. RESULTS: Twenty patients were identified. The stretch-compression type of coronary artery movement (CAM) was a statistically significant independent predictor of the segment containing the culprit lesion (odds ratio 6.10, p-value 0.005). CONCLUSIONS: The stretch-compression type of coronary artery movement is an independent predictor of the location of culprit lesions responsible for ST-segment elevation myocardial infarctions.
BACKGROUND: Prediction of the location of culprit lesions responsible for ST-segment elevation myocardial infarctions may allow for prevention of these events by safe and easily deliverable local therapies. METHODS: A retrospective analysis of coronary movement was performed on coronary angiograms of patients who subsequently represented with ST-segment elevation myocardial infarction treated by primary or rescue angioplasty at a single institution. RESULTS: Twenty patients were identified. The stretch-compression type of coronary artery movement (CAM) was a statistically significant independent predictor of the segment containing the culprit lesion (odds ratio 6.10, p-value 0.005). CONCLUSIONS: The stretch-compression type of coronary artery movement is an independent predictor of the location of culprit lesions responsible for ST-segment elevation myocardial infarctions.
Authors: Aiden Jc O'Loughlin; Karen Byth; John K French; David Ab Richards; Annemarie Hennessy; A Robert Denniss; Pramesh Kovoor Journal: BMC Res Notes Date: 2011-03-07