Heart, Lung and Circulation
Volume 16, Issue 4 , Pages 265-268, August 2007

The Stretch–Compression Type of Coronary Artery Movement Predicts the Location of Culprit Lesions Responsible for ST-Segment Elevation Myocardial Infarctions

  • Aiden J.C. O’Loughlin, FRACP

      Affiliations

    • Department of Interventional Cardiology, 300 Pasteur Drive, Room H2103, Stanford University Medical Center, Stanford, CA 94305, United States
    • Corresponding Author InformationCorresponding author. Tel.: +1 650 387 1763.
    • ,
  • Karen Byth, PhD

      Affiliations

    • Westmead Millenium Institute, Westmead Hospital, Australia

Received 15 August 2006; received in revised form 19 December 2006; accepted 5 February 2007.

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.

Keywords: Coronary artery movement, ST-segment elevation myocardial infarction, Coronary artery disease, Culprit lesion

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PII: S1443-9506(07)00127-8

doi:10.1016/j.hlc.2007.02.085

Heart, Lung and Circulation
Volume 16, Issue 4 , Pages 265-268, August 2007

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