Optical coherence tomography plaque characterization in a patient with ST segment elevation myocardial infarction after cocaine intake

Cardiovascular Revascularization Medicine : Including Molecular Interventions
Morten Steen Svarer HansenLisette Okkels Jensen

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.

References

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Jun 21, 2014·JACC. Cardiovascular Interventions·Sining HuIk-Kyung Jang
Feb 15, 2015·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Italo PortoLeonardo Bolognese

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