Clinical and Laboratory Predictors for Plaque Erosion in Patients With Acute Coronary Syndromes.
acute coronary syndrome
optical coherence tomography
plaque erosion
Journal
Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524
Informations de publication
Date de publication:
05 11 2019
05 11 2019
Historique:
entrez:
24
10
2019
pubmed:
24
10
2019
medline:
15
12
2020
Statut:
ppublish
Résumé
Background Plaque erosion is responsible for 25% to 40% of patients with acute coronary syndromes (ACS). Recent studies suggest that anti-thrombotic therapy without stenting may be an option for this subset of patients. Currently, however, an invasive procedure is required to make a diagnosis of plaque erosion. The aim of this study was to identify clinical or laboratory predictors of plaque erosion in patients with ACS to enable a diagnosis of erosion without additional invasive procedures. Methods and Results Patients with ACS who underwent optical coherence tomography imaging were selected from 11 institutions in 6 countries. The patients were classified into plaque rupture, plaque erosion, or calcified plaque, and predictors were identified using multivariable logistic modeling. Among 1241 patients with ACS, 477 (38.4%) patients were found to have plaque erosion. Plaque erosion was more frequent in non-ST-segment elevation-ACS than in ST-segment-elevation myocardial infarction (47.9% versus 29.8%,
Identifiants
pubmed: 31640466
doi: 10.1161/JAHA.119.012322
pmc: PMC6898801
doi:
Banques de données
ClinicalTrials.gov
['NCT03479723']
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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