title: Role of optical coherence tomography in managing patients with ST elevation myocardial infarction.
abstract: Stenting the culprit lesion in patients presenting with acute coronary syndrome (ACS) is the standard of care. Although plaque rupture on an atheromatous lesion is the most common underlying pathology, other mechanisms can also result in ACS presentation; some of which can be managed without stenting. Here we describe a case that was managed conservatively, after evaluating plaque erosion as the underlying mechanism and lack of obstructive lesion. This case highlights the importance of intracoronary imaging to assess the underlying mechanism in patients presenting with acute coronary syndrome.
authors.affiliation: University Health Network, Toronto, ON, Canada M5G 0B2.
authors.forename: Ashish
authors.initials: A
authors.lastname: Shah
authors.affiliation: University Health Network, Toronto, ON, Canada M5G 0B2. Electronic address: douglas.ing@uhn.ca.
authors.forename: Douglas J
authors.initials: DJ
authors.lastname: Ing
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000473:pathology*; D017023:Coronary Angiography / Q000379:methods; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000473:pathology*; D003331:Coronary Vessels / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000473:pathology*; D058226:Plaque, Atherosclerotic / Q000175:diagnosis / Q000473:pathology*; D000072657:ST Elevation Myocardial Infarction / Q000175:diagnosis / Q000473:pathology*; D041623:Tomography, Optical Coherence / Q000379:methods
keywords: Acute coronary syndrome; Optical coherence tomography; Plaque erosion; ST elevation myocardial infarction