Acute myocardial infarction in a young athlete: Optical coherence tomographic features of the culprit lesion
Objectives: We report on a young male athlete who suffered from acute myocardial infarction immediately after a vigorous training. Methods: A comprehensive optical coherence tomographic investigation of the culprit coronary artery was performed after the combined mechanical and pharmacological throm...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2016-04-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X16642333 |
| _version_ | 1818516903027539968 |
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| author | Matjaz Klemenc Gregor Budihna Mateja Bedencic Andrej Bartolic Igor Kranjec |
| author_facet | Matjaz Klemenc Gregor Budihna Mateja Bedencic Andrej Bartolic Igor Kranjec |
| author_sort | Matjaz Klemenc |
| collection | DOAJ |
| description | Objectives: We report on a young male athlete who suffered from acute myocardial infarction immediately after a vigorous training. Methods: A comprehensive optical coherence tomographic investigation of the culprit coronary artery was performed after the combined mechanical and pharmacological thrombus removal. Results and Conclusion: The imaging discovered a tear at the junction of the non-obstructive, largely fibrotic plaque with the normal arterial wall. This exertion-related vessel damage resulted in a dynamic thrombosis that almost completely occluded the culprit artery. As the vessel obstruction was not considered flow-limiting, the stent implantation was not required and the patient was discharged on the double antiplatelet therapy and statin. |
| first_indexed | 2024-12-11T00:48:42Z |
| format | Article |
| id | doaj.art-cf03e610a4be48faa0d15f5b62958288 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-11T00:48:42Z |
| publishDate | 2016-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-cf03e610a4be48faa0d15f5b629582882022-12-22T01:26:42ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2016-04-01410.1177/2050313X1664233310.1177_2050313X16642333Acute myocardial infarction in a young athlete: Optical coherence tomographic features of the culprit lesionMatjaz Klemenc0Gregor Budihna1Mateja Bedencic2Andrej Bartolic3Igor Kranjec4Department of Cardiology, General Hospital of Nova Gorica, Sempeter pri Gorici, SloveniaDepartment of Cardiology, General Hospital of Nova Gorica, Sempeter pri Gorici, SloveniaDepartment of Cardiology, General Hospital of Nova Gorica, Sempeter pri Gorici, SloveniaDepartment of Cardiology, General Hospital of Nova Gorica, Sempeter pri Gorici, SloveniaUniversity Medical Center, Ljubljana, SloveniaObjectives: We report on a young male athlete who suffered from acute myocardial infarction immediately after a vigorous training. Methods: A comprehensive optical coherence tomographic investigation of the culprit coronary artery was performed after the combined mechanical and pharmacological thrombus removal. Results and Conclusion: The imaging discovered a tear at the junction of the non-obstructive, largely fibrotic plaque with the normal arterial wall. This exertion-related vessel damage resulted in a dynamic thrombosis that almost completely occluded the culprit artery. As the vessel obstruction was not considered flow-limiting, the stent implantation was not required and the patient was discharged on the double antiplatelet therapy and statin.https://doi.org/10.1177/2050313X16642333 |
| spellingShingle | Matjaz Klemenc Gregor Budihna Mateja Bedencic Andrej Bartolic Igor Kranjec Acute myocardial infarction in a young athlete: Optical coherence tomographic features of the culprit lesion SAGE Open Medical Case Reports |
| title | Acute myocardial infarction in a young athlete: Optical coherence tomographic features of the culprit lesion |
| title_full | Acute myocardial infarction in a young athlete: Optical coherence tomographic features of the culprit lesion |
| title_fullStr | Acute myocardial infarction in a young athlete: Optical coherence tomographic features of the culprit lesion |
| title_full_unstemmed | Acute myocardial infarction in a young athlete: Optical coherence tomographic features of the culprit lesion |
| title_short | Acute myocardial infarction in a young athlete: Optical coherence tomographic features of the culprit lesion |
| title_sort | acute myocardial infarction in a young athlete optical coherence tomographic features of the culprit lesion |
| url | https://doi.org/10.1177/2050313X16642333 |
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