Major criteria |
- Angiographic evidence of coronary artery embolism and thrombosis without atherosclerotic components
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- Concomitant coronary artery embolization at multiple sites*
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- Concomitant systemic embolization without left ventricular thrombus attributable to acute myocardial infarction
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Minor criteria |
- <25% stenosis on coronary angiography, except for the culprit lesion
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- Evidence of an embolic source based on transthoracic echocardiography, transesophageal echocardiography, computed tomography, or MRI
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- Presence of embolic risk factors: Atrial fibrillation, cardiomyopathy, rheumatic valve disease, prosthetic heart valve, patent foramen ovale, atrial septal defect, history of cardiac surgery, infective endocarditis, or hypercoagulable state
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Definite CE |
- Two or more major criteria, or
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- One major criterion plus ≥2 minor criteria, or
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Probable CE |
- One major criterion plus one minor criterion, or
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A diagnosis of CE should not be made if there is: |
- Pathological evidence of atherosclerotic thrombus
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- History of coronary revascularization
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- Plaque disruption or erosion detected by intravascular ultrasound or optic coherence tomography in the proximal part of the culprit lesion
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