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http://hdl.handle.net/2445/174211
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DC Field | Value | Language |
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dc.contributor.author | Mas Lladó, Caterina | - |
dc.contributor.author | Maristany, Jaume | - |
dc.contributor.author | Gómez Lara, Josep | - |
dc.contributor.author | Pascual, Marcos | - |
dc.contributor.author | Alameda, María del Mar | - |
dc.contributor.author | Gómez Jaume, Alfredo | - |
dc.contributor.author | Peral Disdier, Vicente | - |
dc.date.accessioned | 2021-02-23T18:22:44Z | - |
dc.date.available | 2021-02-23T18:22:44Z | - |
dc.date.issued | 2020-07-22 | - |
dc.identifier.uri | http://hdl.handle.net/2445/174211 | - |
dc.description.abstract | Objectives: The aim of this study is to assess the utility of optical coherence tomography (OCT) in patients with exercise-related acute coronary syndrome (ACS) presenting with inconclusive angiographic findings. Background: Regular physical activity reduces the incidence of cardiovascular events. Nevertheless, the risk of ACS or sudden cardiac death (SCD) increases during sport. In adults older than 35 years, exercise-related ACS or SCD is associated with plaque rupture, but not infrequently patients present ambiguous angiographic findings. Methods: Between September 2015 and January 2020, patients admitted for ACS or SCD triggered by physical exertion and with coronary stenosis ≤50% were included in this prospective observational study. OCT was performed on the artery deemed to be responsible of the event. Results: Ten patients were enrolled, predominantly men (80%) of middle age (51 years old, IQR 41-63) with low cardiovascular risk burden. Cycling was the most frequent (50%) exercise-related trigger, 8 patients were regular sport practitioners, and 7 had the clinical event during strenuous exertion. Five patients presented with non-ST-elevation ACS, two with ST-elevation ACS, and three with SCD. Angiographic analysis showed nonsignificant stenosis in all patients (42% stenosis, IQR 36-46). OCT identified the etiology of the event in 9 patients (4 plaque erosion, 3 plaque rupture, 1 eruptive calcific nodule, and 1 coronary dissection). Treatment was adjusted according to OCT findings. Conclusions: OCT is a valuable technique to identify the etiology of exercise-related ACS or SCD in patients with nonobstructive coronary arteries and, as a result, may lead to a more specific treatment. | - |
dc.format.extent | 10 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Hindawi Ltd. | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1155/2020/8263923 | - |
dc.relation.ispartof | Journal of Interventional Cardiology, 2020, vol. 2020 | - |
dc.relation.uri | https://doi.org/10.1155/2020/8263923 | - |
dc.rights | cc by (c) Mas Lladó, Caterina et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.subject.classification | Malalties coronàries | - |
dc.subject.classification | Tomografia de coherència òptica | - |
dc.subject.other | Coronary diseases | - |
dc.subject.other | Optical coherence tomography | - |
dc.title | Optical Coherence Tomography for the Diagnosis of Exercise-Related Acute Cardiovascular Events and Inconclusive Coronary Angiography | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2021-02-22T11:42:00Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 32774188 | - |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
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8263923.pdf | 8.16 MB | Adobe PDF | View/Open |
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