In vivo predictors of plaque erosion in patients with ST-segment elevation myocardial infarction: a clinical, angiographical, and intravascular optical coherence tomography study
Authors' conclusion
Plaque erosion was a predictable clinical entity distinct from plaque rupture in STEMI patients
Study context
- Population
- STEMI patients undergoing pre-intervention optical coherence tomography
- Participants
- 822 patients
- Exposure
- Plaque erosion vs plaque rupture
- Plaque erosionn = 209
- Plaque rupturen = 564reference
- Outcome
- In vivo predictors of plaque erosion
Methodological detailsprospective series, OCT imaging
- Prospective series
- OCT imaging
Main finding
As reported in the abstract
Predictors of plaque erosion (multivariable analysis)
Predictors of plaque erosion (multivariable analysis)
LAD location
Right coronary artery location Plaque rupture 43.3%
- Erosion more frequent in women <50 vs ≥50 years
- P = 0.009
- Similar, less striking trend in men
- P = 0.011
- Erosion more frequent near a bifurcation
- P < 0.001
Observational data: associations, not effects.
Original publication
In vivo predictors of plaque erosion in patients with ST-segment elevation myocardial infarction: a clinical, angiographical, and intravascular optical coherence tomography study. Eur Heart J. Published 13 March 2018. doi:10.
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