1. Serial observation of a calcified nodule by optical coherence tomography

    Serial observation of a calcified nodule by optical coherence tomography

    The three most common underlying mechanisms of acute coronary syndrome (ACS) are believed to be plaque rupture, plaque erosion and, least common, a calcified nodule. Although treatment of ACS mainly consists of catheter-based reperfusion using a coronary stent, it remains under discussion whether deployment of a coronary stent is necessary for a culprit calcified nodule, particularly when coronary flow is preserved. A 75-year-old man with ST-elevation myocardial infarction (STEMI) was referred to our hospital. He had a history of hypertension and dyslipidaemia. Emergency coronary angiography revealed a moderately stenotic lesion in the mid left anterior descending coronary artery (LAD) with ...

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