Culprit segments identified by optical coherence tomography in patients with acute myocardial infarction: two case reports

Daisuke Sato; Seiji Koga; Tomohiko Yasunaga; Tomoo Nakata; Masayoshi Takeno; Yuji Koide; Satoshi Ikeda; Naoto Ashizawa; Koji Maemura

doi:10.1007/s12928-011-0081-0

Culprit segments identified by optical coherence tomography in patients with acute myocardial infarction: two case reports

Cardiovasc Interv Ther. 2012 Jan;27(1):47-51. doi: 10.1007/s12928-011-0081-0. Epub 2011 Sep 27.

Authors

Daisuke Sato¹, Seiji Koga, Tomohiko Yasunaga, Tomoo Nakata, Masayoshi Takeno, Yuji Koide, Satoshi Ikeda, Naoto Ashizawa, Koji Maemura

Affiliation

¹ Department of Cardiovascular Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

PMID: 24122642
DOI: 10.1007/s12928-011-0081-0

Abstract

The high resolution of optical coherence tomography (OCT) provides detailed information about coronary plaque morphology, which enables the mechanism of acute myocardial infarction to be evaluated. We describe two patients with acute myocardial infarction in whom culprit segments were identified by OCT, but not by either coronary angiography or intravascular ultrasound.

Publication types

Case Reports

MeSH terms

Aged
Anticoagulants / administration & dosage*
Aspirin / administration & dosage
Cardiac Catheterization / methods
Chest Pain / diagnosis
Chest Pain / etiology
Coronary Angiography / methods
Coronary Artery Disease / complications
Coronary Artery Disease / diagnosis*
Coronary Artery Disease / drug therapy
Electrocardiography / methods
Female
Heparin / administration & dosage
Humans
Male
Middle Aged
Monitoring, Physiologic / methods
Myocardial Infarction / diagnosis*
Myocardial Infarction / drug therapy
Myocardial Infarction / etiology
Prognosis
Risk Assessment
Rupture, Spontaneous / complications
Rupture, Spontaneous / diagnosis
Severity of Illness Index
Tomography, Optical Coherence / methods*
Ultrasonography, Interventional

Substances

Anticoagulants
Heparin
Aspirin