1. Combined intracoronary assessment and treatment of a patient with coronary plaque rapid progression prior to acute myocardial infarction A case report

    Combined intracoronary assessment and treatment of a patient with coronary plaque rapid progression prior to acute myocardial infarction A case report

    Rational: Plaque rapid progression prior to acute myocardial infarction is not a common phenomenon, and its mechanism remains unknown. Intracoronary imaging may help to assess the plaque characteristics and progression. Patient concern: A 37-year-old male patient suffered an acute myocardial infarction (AMI) 1 month after the diagnosis of a mildly stenosed coronary artery. Intracoronary imaging was done to seek the underlying causes and guide further treatment. Diagnosis: Two coronary angiograms in 1 month showed plaque rapid progressing prior to the AMI. Intracoronary optical coherence tomography (OCT) post-AMI showed plaque erosion and heavy burden of thrombus. Intervention: The patient was advised ...

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