1. Thromboembolic or atherosclerotic? Optical coherence tomography in determining the cause of myocardial infarction with ST-segment elevation

    Thromboembolic or atherosclerotic? Optical coherence tomography in determining the cause of myocardial infarction with ST-segment elevation

    In the last years, due to its high image resolution, Optical Coherence Tomography (OCT) has been largely exploited in the assessment of atherosclerotic plaque features. The results obtained in the OCT imaging may determine the choice of optimal treatment technique [1,2]. A 55-year-old man with no history of any cardiovascular disease was admitted to the hospital with typical severe retrosternal pain. Acute myocardial infarction with ST-segment elevation (STEMI) was diagnosed. Immediate coronary angiography showed large thrombus causing subtotal occlusion in the medial and distal segments of the right coronary artery (RCA) with TIMI flow 2 and the occlusion of ...

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