The stretch-compression type of coronary artery movement predicts the location of culprit lesions responsible for ST-segment elevation myocardial infarctions.
BACKGROUND
Prediction of the location of culprit lesions responsible for ST-segment elevation myocardial infarctions may allow for prevention of these events by safe and easily deliverable local therapies.


METHODS
A retrospective analysis of coronary movement was performed on coronary angiograms of patients who subsequently represented with ST-segment elevation myocardial infarction treated by primary or rescue angioplasty at a single institution.


RESULTS
Twenty patients were identified. The stretch-compression type of coronary artery movement (CAM) was a statistically significant independent predictor of the segment containing the culprit lesion (odds ratio 6.10, p-value 0.005).


CONCLUSIONS
The stretch-compression type of coronary artery movement is an independent predictor of the location of culprit lesions responsible for ST-segment elevation myocardial infarctions.
O'Loughlin
Aiden J C
AJ
Department of Interventional Cardiology, 300 Pasteur Drive, Room H2103, Stanford University Medical Center, Stanford, CA 94305, USA. aoloughlin@cvmed.stanford.edu
Byth
Karen
K
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy; D011237:Predictive Value of Tests; D012107:Research Design; D012189:Retrospective Studies; D012720:Severity of Illness Index