Which Coronary Lesions Are More Prone to Cause Acute Myocardial Infarction?

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ŞEN T., ASTARCIOĞLU M. A., BETON O., ASARCIKLI L. D., KİLİT C.

ARQUIVOS BRASILEIROS DE CARDIOLOGIA, vol.108, no.2, pp.149-152, 2017 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 108 Issue: 2
  • Publication Date: 2017
  • Doi Number: 10.5935/abc.20170003
  • Journal Name: ARQUIVOS BRASILEIROS DE CARDIOLOGIA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.149-152
  • Keywords: Plaque, Atherosclerotic, Rupture, Myocardial Infarction, Coronary Restenosis, Collateral Circulation, COLLATERAL VESSEL DEVELOPMENT, MEAN PLATELET VOLUME, ARTERY-DISEASE, OCCLUSION, FLOW, CIRCULATION, GROWTH, THROMBOLYSIS, ANGIOGRAPHY, PROGRESSION
  • Kütahya Health Sciences University Affiliated: Yes

Abstract

Background: According to common belief, most myocardial infarctions (MIs) are due to the rupture of nonsevere, vulnerable plaques with < 70% obstruction. Data from recent trials challenge this belief, suggesting that the risk of coronary occlusion is, in fact, much higher after severe stenosis. The aim of this study was to investigate whether or not acute ST-elevation MIs result from high-grade stenoses by evaluating the presence of coronary collateral circulation (CCC).