Case-control study

Noninvasive In Vivo Coronary Artery Thrombus Imaging

JACC Cardiovasc ImagingPublished

  • Case-control study
  • single-centre
  • observational

Authors' conclusion

Coronary 18F-GP1 PET/CT angiography is the first noninvasive selective technique to identify in vivo coronary thrombosis in patients with acute myocardial infarction.

Study context

Population
Patients with or without acute MI undergoing coronary 18F-GP1 positron emission tomographic (PET)/computed tomographic (CT) angiography
Participants
49 vs 50
Comparison
Acute MI vs no acute MI
  • With acute myocardial infarctionn = 49
  • Without acute myocardial infarctionn = 50reference
Outcome
Coronary 18F-GP1 uptake (visual and maximum target-to-background ratio)

Main finding

As reported in the abstract

Coronary 18F-GP1 uptake in culprit lesions

Acute MI

80%

39 events

Observational data: associations, not effects.

Further findings

Determinants of 18F-GP1 uptake (multivariable regression)

Culprit vessel status the only independent variable associated with higher 18F-GP1 uptake

Extracoronary cardiac 18F-GP1 findings

Infarct-related intramyocardial uptake
35%
LV thrombus
8%
Left atrial thrombus
2%

Original publication

Noninvasive In Vivo Coronary Artery Thrombus Imaging. JACC Cardiovasc Imaging. Published 14 December 2022. doi:10.1016/j.jcmg.2022.10.002

Summarised from the published abstract; every number is checked against it