TY - JOUR
T1 - Optical coherence tomography plaque characterization in a patient with ST segment elevation myocardial infarction after cocaine intake
T2 - Cardiovascular Revascularization Medicine
AU - Hansen, Morten
AU - Antonsen, L.
AU - Jensen, L. O.
N1 - ISI Document Delivery No.: EA9KJ Times Cited: 0 Cited Reference Count: 12 Hansen, Morten Steen Svarer Antonsen, Lisbeth Jensen, Lisette Okkels 0 Elsevier inc San diego 1878-0938
PY - 2016/2/26
Y1 - 2016/2/26
N2 - 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.
AB - 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.
KW - Optical coherence tomography Cocaine Plaque erosion Myocardial infarction acute coronary syndrome in-vivo diagnosis erosion Cardiovascular System & Cardiology
KW - Myocardial infarction
KW - Optical coherence tomography
KW - Cocaine
KW - Plaque erosion
KW - Cocaine-Related Disorders/complications
KW - ST Elevation Myocardial Infarction/chemically induced
KW - Tomography, Optical Coherence
KW - Humans
KW - Male
KW - Coronary Artery Disease/chemically induced
KW - Plaque, Atherosclerotic
KW - Coronary Angiography
KW - Electrocardiography
KW - Adult
KW - Coronary Vessels/diagnostic imaging
KW - Coronary Thrombosis/chemically induced
U2 - 10.1016/j.carrev.2016.01.008
DO - 10.1016/j.carrev.2016.01.008
M3 - Journal article
C2 - 26905053
SN - 1553-8389
VL - 17
SP - 212
EP - 215
JO - Cardiovascular Revascularization Medicine
JF - Cardiovascular Revascularization Medicine
IS - 3
ER -