Research Article
Optical Coherence Tomography for the Diagnosis of Exercise-Related Acute Cardiovascular Events and Inconclusive Coronary Angiography
Table 4
Individual characteristics of the study population.
| | Clinical characteristics | Angiographic characteristics | OCT characteristics | | Case | Sex | Age | RF | Physical exertion | REG | DX | Pre-TX | usTrI (ng/L) | CCA | QCA (%) | Lesion characteristics | Detected cause | Vulnerable plaque | TX decision |
| | 1 | M | 63 | HBP | Cycling | No | SCD | None | 716 | RCA | 43.8 | Calcified | Rupture | NV | PCI | | 2 | M | 46 | SMK and DLP | Isometric | Yes | NSTEMI | Aspirin, ticagrelor, and enoxaparin | 446 | LAD | 36.2 | Irregular | Rupture | NV, MC, CC, and TCFA | PCI | | 3 | F | 59 | None | Running | Yes | SCD | Aspirin, ticagrelor, and enoxaparin | 43 | UK | 45.7 | Smooth | None | None | PHARM | | 4 | M | 40 | SMK and DLP | Cycling | Yes | STEMI | Aspirin and ticagrelor | 5000 | RCA | 31.5 | Irregular | Erosion | NV | PCI | | 5 | M | 56 | None | Cycling | Yes | SCD | Aspirin, clopidogrel, and enoxaparin | 1700 | LAD | 36.4 | Smooth | Erosion | NV, MC, and TCFA | PCI | | 6 | M | 69 | SMK | Cycling | Yes | NSTEMI | Aspirin, ticagrelor, and enoxaparin | 293 | LAD | 40.2 | Irregular | Eruptive calcific nodule | MC, CC, and TCFA | PCI | | 7 | M | 81 | DLP | Hiking | Yes | NSTEMI | Aspirin, clopidogrel, and enoxaparin | 1450 | RCA | 43.2 | Smooth | Erosion | NV and MC | PCI | | 8 | M | 41 | SMK | Isometric | No | NSTEMI | Aspirin, ticagrelor, and fondaparinux | 3070 | LAD | 49.7 | Smooth | Rupture | None | PCI | | 9 | M | 33 | DLP | Cycling | Yes | STEMI | Aspirin and clopidogrel | 29264 | LAD | 37.0 | Thrombus | Erosion | NV and TCFA | PCI | | 10 | F | 41 | None | Running | Yes | NSTEMI | Aspirin and ticagrelor | 149 | LAD | 46.0 | Irregular | Dissection | None | PHARM |
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CCA: culprit coronary artery; CC: cholesterol crystals; DLP: dyslipidaemia; DX: diagnose on admission; F: female; HBP: high blood pressure; usTrI: ultrasensitive troponin I; LAD: left anterior descending coronary artery; M: male; MC: macrophages; NSTEMI: non-ST-elevation myocardial infarction; NV: neovascularization; OCT: optical coherence tomography; PCI: percutaneous coronary intervention; PHARM: pharmacological treatment; pre-Tx: in-hospital treatment prior to coronary angiography; QCA: quantitative coronary angiography; RCA: right coronary artery; REG: regular sport practitioner; RF: risk factors; SCD: sudden cardiac death; SMK: smoker; STEMI: ST-elevation myocardial infarction; TCFA: thin cap fibroatheroma; TX: treatment. QCA of the maximal stenosis detected on that patient, despite there was no suspicion of which plaque was the culprit lesion. |
