Table 1.
Study phenotype | Criteria |
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---|---|---|---|---|
Troponin (ng/ml) | Histology | Presentation | Blinded angiographic assessment | |
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:
|
|
Acute MI (n = 49) | Ortho VITROS 5600 Assay: “Peak” troponin level > 0.12 Beckman Access “Peak” troponin level > 0.5 |
Non-elective coronary angiogram Clinical presentation consistent with WHF/ECC/ACC/AHA Universal definition of AMI |
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Thrombotic MI (n = 22) | 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 | Non-elective coronary angiogram Clinical presentation consistent with WHF/ECC/ACC/AHA Universal definition of AMI |
Stenosis in the vessel in which thrombus was recovered of 50–100% and ST elevation in territory supplied by the vessel in which thrombus was recovered |
Non-thrombotic MI (n = 12) | Ortho VITROS 5600 Assay: “Peak” troponin level >0.12 Beckman Access “Peak” troponin level >0.5 |
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:
|
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; CVD, cardiovascular disease.