title: The stretch-compression type of coronary artery movement predicts the location of culprit lesions responsible for ST-segment elevation myocardial infarctions.
abstract: 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.
authors.affiliation: Department of Interventional Cardiology, 300 Pasteur Drive, Room H2103, Stanford University Medical Center, Stanford, CA 94305, USA. aoloughlin@cvmed.stanford.edu
authors.forename: Aiden J C
authors.initials: AJ
authors.lastname: O'Loughlin
authors.forename: Karen
authors.initials: K
authors.lastname: Byth
mesh_terms: 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