Spontaneous Vanishing of Coronary Collaterals During Cardiac Catheterization for Acute Myocardial Infarction
Bibliographic record
Abstract
A patient with acute ST segment elevation inferior myocardial infarction underwent urgent cardiac catheterization. Left coronary arteriography demonstrated minor coronary disease with well-defined collateral filling of the dominant right coronary artery. Shortly thereafter, right coronary arteriography demonstrated entirely normal findings, and a repeat left coronary angiogram no longer demonstrated coronary collaterals. The “vanishing” coronary collaterals are consistent with acute myocardial infarction from transient occlusion of the right coronary artery. These findings are consistent with the phenomenon of myocardial infarction in the presence of angiographically normal coronary arteries. The transient coronary occlusion in this patient is likely secondary to spontaneous lysis of intracoronary thrombus or transient coronary vasospasm. J Med Cases. 2016;7(12):527-530 doi: https://doi.org/10.14740/jmc2667w
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".