Imaging in patients with ST-segment elevation myocardial infarction - a case report

GNIOT, Marcelina & JANKIEWICZ, Marek. Imaging in patients with ST-segment elevation myocardial infarction - a case report. Journal of Education, Health and Sport. 2023;13(5):54-58. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.13.05.007 https://apcz.umk.pl/JEHS/article/view/42473 https://zenodo.org/record/7706585 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2023; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 09.02.2023. Revised: 22.02.2023. Accepted: 04.03.2023. Published: 07.03.2023. Imaging in patients with ST-segment elevation myocardial infarction – a case report Marcelina Gniot1, Marek Jankiewicz2 1Oddział Kardiologii, Szpital Specjalistyczny w Puławach 2Klinika Kardiologii, Uniwersytet Medyczny w Lublinie Marcelina Gniot; gniotmarcelina@gmail.com; ORCID: 0000-0002-3994-3394 Marek Jankiewicz; marek.jankiewicz@wp.pl; ORCID: 0000-0001-9900-9168 Wykaz skrótów: IVUS – ultrasonografia wewnątrznaczyniowa PCI – przezskórna angioplastyka wieńcowa AMI – ostry zawał mięśnia sercowego STEMI – zawał serca z uniesieniem odcinka ST MACE – duże zdarzenia sercowe OZW – ostry zespół wieńcowy LAD – gałąź przednia zstępująca LM – pień lewej tętnicy wieńcowej DES – stent uwalniający lek SCAD – samoistne rozwarstwienie tętnicy wieńcowej Abstract: Introduction and purpose: Intravascular ultrasound (IVUS) facilitates 3-dimensional visualization of the blood vessels. Nowadays, it becomes increasingly supportive in percutaneous coronary intervention (PCI) guiding in patients with acute myocardial infarction (AMI). This report presents IVUS-guided PCI performed on 43-year-old patient with ST-segment elevation myocardial infarction (STEMI). Brief description of the state of knowledge: IVUS is an established intracoronary imaging technique that can be used in patients with AMI. It allows assessment of the plaque nature, stent selection and optmisation. An increasing body of evidence shows that IVUS-guided PCI is correlated with reduction in number of major adverse cardiovascular events (MACE), stent thrombosis and with less contrast use. Studies show, that IVUS can be used in patient with STEMI, as it is presented in this report. Conclusion: This case illustrates IVUS-guided PCI performed on the patient with STEMI. It shows that it is crucial to consider using this technique in every patient with AMI, as it provides beneficial outcome of the treatment. It is particularly important in patients with complicated anatomy of the blood vessels and in patients with contraindications to the considerable contrast use. Keywords: Intravascular ultrasound; acute myocardial infarction; percutaneous coronary intervention; ST-segment elevation myocardial infarction; coronary angiograph