Diagnostic accuracy of a novel 'winking coronary angiographic sign' in patients presenting with ventricular septal rupture complicating acute myocardial infarction.

ABSTRACT: Ventricular septal rupture (VSR) is an uncommon but potentially lethal complication of acute myocardial infarction (MI). Its prompt recognition is essential to permit timely institution of corrective measures. The present study was undertaken to assess the diagnostic accuracy of a novel and unique angiographic sign, the 'winking coronary sign (WCS)', for recognizing post-MI VSR. The WCS is defined as partial transient occlusion of the infarct-related culprit artery overlying the site of VSR during ventricular systole with near normal filling in the diastole. A total of 56 patients with post-MI VSR (mean age 60.9 ± 9.9 years, 75% male) were compared with 73 age- and sex-matched acute MI patients without VSR. The extent of coronary artery disease was not different between the two groups, but

SUBMITTER: Sharma K 

PROVIDER: S-EPMC6310177 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature