1. We Should Use the OCT-Based Clinical Term “Acute Coronary Syndrome With Intact Fibrous Cap (ACS-IFC)” Rather Than the Pathology Term “Plaque Erosion”

    We Should Use the OCT-Based Clinical Term “Acute Coronary Syndrome With Intact Fibrous Cap (ACS-IFC)” Rather Than the Pathology Term “Plaque Erosion”

    We welcome the contribution of Jia et al. 1 to our understanding of the role of optical coherence tomography (OCT) in acute coronary syndromes. Their study ( 1 ) confirms that OCT can help discriminate between plaque rupture and erosion clinically 2 . However, we believe that a pathological term such as erosion may not be appropriate, and, as we proposed, the acute coronary syndromes should be clinically classified on the basis of OCT as those associated with an intact fibrous cap (IFC-ACS) and ruptured fibrous cap (RFC-ACS) ( 2 ). This is not a mere semantic difference but makes the clinical classification as the ...

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