NON-CULPRIT PLAQUES IN PATIENTS WITH ACUTE CORONARY SYNDROME (ACS) HAVE MORE VULNERABLE FEATURES COMPARED TO THOSE WITH NON-ACS: A 3 VESSEL OCT STUDY

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Nonculprit plaques in patients with acute coronary syndromes have more vulnerable features compared with those with non-acute coronary syndromes: a 3-vessel optical coherence tomography study.

BACKGROUND Patients with acute coronary syndrome (ACS) have a higher incidence of recurrent ischemic events. The aim of this study was to compare the plaque characteristics of nonculprit lesions between ACS and non-ACS patients using optical coherence tomography (OCT) imaging. METHODS AND RESULTS Patients who had 3-vessel OCT imaging were selected from the Massachusetts General Hospital (MGH)...

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Nonculprit Plaques in Patients With Acute Coronary Syndromes Have More Vulnerable Features Compared With Those With Non–Acute Coronary Syndromes

Pathological studies have demonstrated that plaque rupture with subsequent occlusive thrombus formation is a primary cause of acute coronary syndrome (ACS). Plaque vulnerability has been widely accepted as an underlying mechanism for this local phenomenon. However, plaque instability is not merely a local vascular accident but reflects a pan-vascular process with the potential to destabilize at...

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Acute Coronary Syndrome (ACS) — Causes and Treatment

The acute coronary syndrome is one of the most common causes of death in the industrialized countries. Since with every minute that passes, more heart muscle tissue is irreversibly damaged, it requires a rapid diagnosis and therapy. Every physician must, therefore, recognize the symptoms and immediately respond in an adequate fashion. Reading this article will prepare you to recognize the sympt...

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Morphological features of non-culprit plaques on optical coherence tomography and integrated backscatter intravascular ultrasound in patients with acute coronary syndromes.

AIMS We sought to compare the morphological features of non-culprit plaques with >50% diameter stenosis in patients with acute coronary syndromes (ACS) with those of culprit plaques in patients with ACS and stable angina pectoris (SAP) using optical coherence tomography (OCT) and integrated backscatter intravascular ultrasound (IB-IVUS). METHODS AND RESULTS A total of 150 culprit and non-culp...

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Acute Coronary Syndrome (ACS) — Causes and Treatment

The acute coronary syndrome is one of the most common causes of death in the industrialized countries. Since with every minute that passes, more heart muscle tissue is irreversibly damaged, it requires a rapid diagnosis and therapy. Every physician must, therefore, recognize the symptoms and immediately respond in an adequate fashion. Reading this article will prepare you to recognize the sympt...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2012

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(12)60408-2