作者
Haibo Jia, Farhad Abtahian, Aaron D Aguirre, Stephen Lee, Stanley Chia, Harry Lowe, Koji Kato, Taishi Yonetsu, Rocco Vergallo, Sining Hu, Jinwei Tian, Hang Lee, Seung-Jung Park, Yang-Soo Jang, Owen C Raffel, Kyoichi Mizuno, Shiro Uemura, Tomonori Itoh, Tsunekazu Kakuta, So-Yeon Choi, Harold L Dauerman, Abhiram Prasad, Catalin Toma, Iris McNulty, Shaosong Zhang, Bo Yu, Valentine Fuster, Jagat Narula, Renu Virmani, Ik-Kyung Jang
发表日期
2013/11/5
期刊
Journal of the American College of Cardiology
卷号
62
期号
19
页码范围
1748-1758
出版商
American College of Cardiology Foundation
简介
Objectives
The aim of this study was to characterize the morphological features of plaque erosion and calcified nodule in patients with acute coronary syndrome (ACS) by optical coherence tomography (OCT).
Background
Plaque erosion and calcified nodule have not been systematically investigated in vivo.
Methods
A total of 126 patients with ACS who had undergone pre-intervention OCT imaging were included. The culprit lesions were classified as plaque rupture (PR), erosion (OCT-erosion), calcified nodule (OCT-CN), or with a new set of diagnostic criteria for OCT.
Results
The incidences of PR, OCT-erosion, and OCT-CN were 43.7%, 31.0%, and 7.9%, respectively. Patients with OCT-erosion were the youngest, compared with those with PR and OCT-CN (53.8 ± 13.1 years vs. 60.6 ± 11.5 years, 65.1 ± 5.0 years, p = 0.005). Compared with patients with PR, presentation with non–ST-segment elevation ACS was …
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