Findings on echocardiography and invasive coronary angiography in patients with undetectable infarct mass
| Patient . | Echocardiography findings . | Time between presentation and ICA/PCI/CABG (hours) . | Findings on ICA . | Rentrop grade of coronary collaterals . | Culprit Lesion . | Type of revascularization . |
|---|---|---|---|---|---|---|
| 1 | Hypokinaesia infero-lateral | <2 | No significant CAD | N.A. | N.A. | No |
| 2 | Normal EF | <2 | 1-vessel disease; subtotal occlusion of LAD | 0 | LAD | 1×DES (direct) |
| 3 | Hypokinaesia infero-lateral | <0.5 | 3-vessel disease; subtotal occlusion of RCA | 1 | RCA | PCI and 2×DES |
| 4 | Hypokinaesia Antero-septal and inferior | 60 | No significant CAD | N.A. | N.A. | No |
| 5 | Normal EF | <0.5 | 2-vessel disease (LAD and RCA); subtotal occlusion of RCA | 0 | RCA | PCI and 1×DES |
| 6 | Hypokinaesia medial and apical | 36 | 3-vessel disease; severe end left main stem stenosis, trifurcation stenosis of LAD, R. intermedius and LCx | 0 | Trifurcation (LAD, R. intermedius, LCx) | CABG (LIMA to LAD, sequential ACVB to R. intermedius, and 2 large left marginal arteries) |
| 7 | Hypokinaesia septal-apical | <0.5 | Severe 3-vessel disease; severe stenosis of LCx, marginal branch of LCx and ACVB to diagonal branch of the LAD, occlusion of LIMA to LAD, moderate stenosis of RCA | 0 | ACVB to diagonal branch of the LAD, LCx and its marginal branch | PCI and 2×DES of LCx, 1×DES (direct) of ACVB to diagonal branch |
| 8 | N.A. | 18 | 3-vessel disease; severe LAD stenosis, intermediate LCx, and RCA stenosis | 0 | LAD | PCI and 2×DES |
| 9 | N.A. | <0.5 | 2-vessel disease (LAD and LCx); severe stenosis of LAD | 0 | LAD | PCI and 1×DES |
| 10 | Hypokinaesia infero-lateral | <0.5 | 3-vessel disease; subtotal occlusion of RCA | 1 | RCA | PCI and 3×DES |
| 11 | Hypokinaesia infero-septal apical | 5 | 3-vessel disease; subtotal occlusion of distal LCx | 0 | LCx | PCI and 1×DES |
| 12 | N.A. | 15 | 1-vessel disease; subtotal occlusion of RCA | 0 | RCA | PCI and 1×DES |
| 13 | Hypokinaesia lateral-apical | 2 | 1-vessel disease; subtotal, thrombotic occlusion of RCA | 2 | RCA | PCI, thrombus aspiration and 4×DES, tirofiban-heparin infusion post-PCI |
| 14 | N.A. | <3 | 3-vessel disease; severe stenosis of LAD, diagonal branch of the LAD, and marginal branch of the LCx | 0 | LAD and diagonal branch | PCI and 3×DES of LAD/diagonal branch bifurcation, 1×DES (direct) of LAD |
| Patient . | Echocardiography findings . | Time between presentation and ICA/PCI/CABG (hours) . | Findings on ICA . | Rentrop grade of coronary collaterals . | Culprit Lesion . | Type of revascularization . |
|---|---|---|---|---|---|---|
| 1 | Hypokinaesia infero-lateral | <2 | No significant CAD | N.A. | N.A. | No |
| 2 | Normal EF | <2 | 1-vessel disease; subtotal occlusion of LAD | 0 | LAD | 1×DES (direct) |
| 3 | Hypokinaesia infero-lateral | <0.5 | 3-vessel disease; subtotal occlusion of RCA | 1 | RCA | PCI and 2×DES |
| 4 | Hypokinaesia Antero-septal and inferior | 60 | No significant CAD | N.A. | N.A. | No |
| 5 | Normal EF | <0.5 | 2-vessel disease (LAD and RCA); subtotal occlusion of RCA | 0 | RCA | PCI and 1×DES |
| 6 | Hypokinaesia medial and apical | 36 | 3-vessel disease; severe end left main stem stenosis, trifurcation stenosis of LAD, R. intermedius and LCx | 0 | Trifurcation (LAD, R. intermedius, LCx) | CABG (LIMA to LAD, sequential ACVB to R. intermedius, and 2 large left marginal arteries) |
| 7 | Hypokinaesia septal-apical | <0.5 | Severe 3-vessel disease; severe stenosis of LCx, marginal branch of LCx and ACVB to diagonal branch of the LAD, occlusion of LIMA to LAD, moderate stenosis of RCA | 0 | ACVB to diagonal branch of the LAD, LCx and its marginal branch | PCI and 2×DES of LCx, 1×DES (direct) of ACVB to diagonal branch |
| 8 | N.A. | 18 | 3-vessel disease; severe LAD stenosis, intermediate LCx, and RCA stenosis | 0 | LAD | PCI and 2×DES |
| 9 | N.A. | <0.5 | 2-vessel disease (LAD and LCx); severe stenosis of LAD | 0 | LAD | PCI and 1×DES |
| 10 | Hypokinaesia infero-lateral | <0.5 | 3-vessel disease; subtotal occlusion of RCA | 1 | RCA | PCI and 3×DES |
| 11 | Hypokinaesia infero-septal apical | 5 | 3-vessel disease; subtotal occlusion of distal LCx | 0 | LCx | PCI and 1×DES |
| 12 | N.A. | 15 | 1-vessel disease; subtotal occlusion of RCA | 0 | RCA | PCI and 1×DES |
| 13 | Hypokinaesia lateral-apical | 2 | 1-vessel disease; subtotal, thrombotic occlusion of RCA | 2 | RCA | PCI, thrombus aspiration and 4×DES, tirofiban-heparin infusion post-PCI |
| 14 | N.A. | <3 | 3-vessel disease; severe stenosis of LAD, diagonal branch of the LAD, and marginal branch of the LCx | 0 | LAD and diagonal branch | PCI and 3×DES of LAD/diagonal branch bifurcation, 1×DES (direct) of LAD |
ACVB, aorto-coronary vein bypass graft; CABG, coronary artery bypass grafting; CAD, coronary artery disease; DES, drug-eluting stent; EF, ejection fraction; ICA, invasive coronary angiography; LAD, left anterior descending artery; LCx, left circumflex artery; LIMA, left internal mammary artery; PCI, percutaneous coronary intervention; RCA, right coronary artery; N.A., not available.
Findings on echocardiography and invasive coronary angiography in patients with undetectable infarct mass
| Patient . | Echocardiography findings . | Time between presentation and ICA/PCI/CABG (hours) . | Findings on ICA . | Rentrop grade of coronary collaterals . | Culprit Lesion . | Type of revascularization . |
|---|---|---|---|---|---|---|
| 1 | Hypokinaesia infero-lateral | <2 | No significant CAD | N.A. | N.A. | No |
| 2 | Normal EF | <2 | 1-vessel disease; subtotal occlusion of LAD | 0 | LAD | 1×DES (direct) |
| 3 | Hypokinaesia infero-lateral | <0.5 | 3-vessel disease; subtotal occlusion of RCA | 1 | RCA | PCI and 2×DES |
| 4 | Hypokinaesia Antero-septal and inferior | 60 | No significant CAD | N.A. | N.A. | No |
| 5 | Normal EF | <0.5 | 2-vessel disease (LAD and RCA); subtotal occlusion of RCA | 0 | RCA | PCI and 1×DES |
| 6 | Hypokinaesia medial and apical | 36 | 3-vessel disease; severe end left main stem stenosis, trifurcation stenosis of LAD, R. intermedius and LCx | 0 | Trifurcation (LAD, R. intermedius, LCx) | CABG (LIMA to LAD, sequential ACVB to R. intermedius, and 2 large left marginal arteries) |
| 7 | Hypokinaesia septal-apical | <0.5 | Severe 3-vessel disease; severe stenosis of LCx, marginal branch of LCx and ACVB to diagonal branch of the LAD, occlusion of LIMA to LAD, moderate stenosis of RCA | 0 | ACVB to diagonal branch of the LAD, LCx and its marginal branch | PCI and 2×DES of LCx, 1×DES (direct) of ACVB to diagonal branch |
| 8 | N.A. | 18 | 3-vessel disease; severe LAD stenosis, intermediate LCx, and RCA stenosis | 0 | LAD | PCI and 2×DES |
| 9 | N.A. | <0.5 | 2-vessel disease (LAD and LCx); severe stenosis of LAD | 0 | LAD | PCI and 1×DES |
| 10 | Hypokinaesia infero-lateral | <0.5 | 3-vessel disease; subtotal occlusion of RCA | 1 | RCA | PCI and 3×DES |
| 11 | Hypokinaesia infero-septal apical | 5 | 3-vessel disease; subtotal occlusion of distal LCx | 0 | LCx | PCI and 1×DES |
| 12 | N.A. | 15 | 1-vessel disease; subtotal occlusion of RCA | 0 | RCA | PCI and 1×DES |
| 13 | Hypokinaesia lateral-apical | 2 | 1-vessel disease; subtotal, thrombotic occlusion of RCA | 2 | RCA | PCI, thrombus aspiration and 4×DES, tirofiban-heparin infusion post-PCI |
| 14 | N.A. | <3 | 3-vessel disease; severe stenosis of LAD, diagonal branch of the LAD, and marginal branch of the LCx | 0 | LAD and diagonal branch | PCI and 3×DES of LAD/diagonal branch bifurcation, 1×DES (direct) of LAD |
| Patient . | Echocardiography findings . | Time between presentation and ICA/PCI/CABG (hours) . | Findings on ICA . | Rentrop grade of coronary collaterals . | Culprit Lesion . | Type of revascularization . |
|---|---|---|---|---|---|---|
| 1 | Hypokinaesia infero-lateral | <2 | No significant CAD | N.A. | N.A. | No |
| 2 | Normal EF | <2 | 1-vessel disease; subtotal occlusion of LAD | 0 | LAD | 1×DES (direct) |
| 3 | Hypokinaesia infero-lateral | <0.5 | 3-vessel disease; subtotal occlusion of RCA | 1 | RCA | PCI and 2×DES |
| 4 | Hypokinaesia Antero-septal and inferior | 60 | No significant CAD | N.A. | N.A. | No |
| 5 | Normal EF | <0.5 | 2-vessel disease (LAD and RCA); subtotal occlusion of RCA | 0 | RCA | PCI and 1×DES |
| 6 | Hypokinaesia medial and apical | 36 | 3-vessel disease; severe end left main stem stenosis, trifurcation stenosis of LAD, R. intermedius and LCx | 0 | Trifurcation (LAD, R. intermedius, LCx) | CABG (LIMA to LAD, sequential ACVB to R. intermedius, and 2 large left marginal arteries) |
| 7 | Hypokinaesia septal-apical | <0.5 | Severe 3-vessel disease; severe stenosis of LCx, marginal branch of LCx and ACVB to diagonal branch of the LAD, occlusion of LIMA to LAD, moderate stenosis of RCA | 0 | ACVB to diagonal branch of the LAD, LCx and its marginal branch | PCI and 2×DES of LCx, 1×DES (direct) of ACVB to diagonal branch |
| 8 | N.A. | 18 | 3-vessel disease; severe LAD stenosis, intermediate LCx, and RCA stenosis | 0 | LAD | PCI and 2×DES |
| 9 | N.A. | <0.5 | 2-vessel disease (LAD and LCx); severe stenosis of LAD | 0 | LAD | PCI and 1×DES |
| 10 | Hypokinaesia infero-lateral | <0.5 | 3-vessel disease; subtotal occlusion of RCA | 1 | RCA | PCI and 3×DES |
| 11 | Hypokinaesia infero-septal apical | 5 | 3-vessel disease; subtotal occlusion of distal LCx | 0 | LCx | PCI and 1×DES |
| 12 | N.A. | 15 | 1-vessel disease; subtotal occlusion of RCA | 0 | RCA | PCI and 1×DES |
| 13 | Hypokinaesia lateral-apical | 2 | 1-vessel disease; subtotal, thrombotic occlusion of RCA | 2 | RCA | PCI, thrombus aspiration and 4×DES, tirofiban-heparin infusion post-PCI |
| 14 | N.A. | <3 | 3-vessel disease; severe stenosis of LAD, diagonal branch of the LAD, and marginal branch of the LCx | 0 | LAD and diagonal branch | PCI and 3×DES of LAD/diagonal branch bifurcation, 1×DES (direct) of LAD |
ACVB, aorto-coronary vein bypass graft; CABG, coronary artery bypass grafting; CAD, coronary artery disease; DES, drug-eluting stent; EF, ejection fraction; ICA, invasive coronary angiography; LAD, left anterior descending artery; LCx, left circumflex artery; LIMA, left internal mammary artery; PCI, percutaneous coronary intervention; RCA, right coronary artery; N.A., not available.
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