Table 1. Study phenotype criteria.
Study Phenotype | Criteria | |||
---|---|---|---|---|
Troponin (ng/ml) | Histology | Presentation | Blinded Angiographic Assessment | |
Thrombotic MI (n = 11) |
Ortho Vitros 5600 Assay: “Peak” Troponin Level >0.12 Beckman Access: “Peak” Troponin Level >0.5-and- >30% increase in troponin from T0 to T6 |
Histologically confirmed coronary thrombus 0–4 days old by blinded pathological assessment. | Clinical presentation consistent with WHF/ECC/ACC/AHA Universal definition of AMI | Stenosis of 50–100% in the vessel where thrombus was recovered and absence of dissection. |
Non-Thrombotic MI (n = 12) |
Ortho Vitros 5600 Assay: “Peak” Troponin Level >0.12 Beckman Access: “Peak” Troponin Level >0.5 -and- >30% increase in troponin from T0 to T6 |
No histologically confirmed thrombus recovered. | Clinical presentation consistent with WHF/ECC/ACC/AHA Universal definition of AMI | Satisfies ALL 5 criteria below, in all vessels: 1. ≤50% stenosis 2. No filling defect 3. Simple Ambrose lesion morphology 4. TIMI flow = 3 5. TIMI MPG = 3 |
Stable CAD (n = 15) |
Ortho Vitros 5600 Assay: “Peak” Troponin Level <0.035 Beckman Access: “Peak” Troponin Level <0.04 |
Elective coronary angiogram History of CVD: CABG, PCI, CVA / TIA, CEA, PAD or AAA procedure–or angiographic criteria |
Satisfies ALL criteria below: 1. > 50% stenosis in one or greater epicardial vessel (only required if no history of CVD) 2. TIMI flow = 3 (all vessels) 3. TIMI MPG = 3 (all vessels) |
CAD = coronary artery disease, MI = myocardial infarction, TIMI = thrombolysis in myocardial infarction, MPG = myocardial perfusion grade, CABG = coronary artery bypass grafting, PCI = percutaneous coronary intervention, CVA = cerebral vascular accident, TIA = transient ischemic attack, CEA = carotid endarterectomy, PAD = peripheral artery disease, AAA = abdominal aortic aneurysm