Abstract
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.
Original language | English |
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Journal | Cardiovascular Revascularization Medicine |
Volume | 17 |
Issue number | 3 |
Pages (from-to) | 212-215 |
ISSN | 1553-8389 |
DOIs | |
Publication status | Published - 26. Feb 2016 |
Bibliographical note
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 1878-0938Keywords
- Optical coherence tomography Cocaine Plaque erosion Myocardial infarction acute coronary syndrome in-vivo diagnosis erosion Cardiovascular System & Cardiology
- Myocardial infarction
- Optical coherence tomography
- Cocaine
- Plaque erosion
- Cocaine-Related Disorders/complications
- ST Elevation Myocardial Infarction/chemically induced
- Tomography, Optical Coherence
- Humans
- Male
- Coronary Artery Disease/chemically induced
- Plaque, Atherosclerotic
- Coronary Angiography
- Electrocardiography
- Adult
- Coronary Vessels/diagnostic imaging
- Coronary Thrombosis/chemically induced