Optical Coherence Tomography Analysis of Clinical and Subclinical
Background: Coronary plaque ruptures occur not only in acute coronary syndrome (ACS) patients but also in non-ACS patients. There is a great interest in the reason why some plaque ruptures lead to ACS but others do not. We used optical coherence tomography (OCT) to identify anatomic features that lead to the development of culprit lesions causing ACS after plaque rupture.Methods: We assessed 102 plaque ruptures by using OCT and compared lesion morphologies betweensymptomatic plaque rupture in unstable angina pectoris (UAP; n=67) and silent plaque rupture in stable anginapectoris (SAP; n=35).Results: In the cross-sectional view, rupture was ...
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