What atherosclerosis findings can CT see in sudden coronary death: Plaque rupture versus plaque erosion.
Autopsy
Cause of Death
Computed Tomography Angiography
Coronary Angiography
Coronary Artery Disease
/ complications
Coronary Thrombosis
/ diagnostic imaging
Coronary Vessels
/ diagnostic imaging
Death, Sudden, Cardiac
/ etiology
Fatal Outcome
Humans
Male
Middle Aged
Multidetector Computed Tomography
Necrosis
Plaque, Atherosclerotic
Predictive Value of Tests
Reproducibility of Results
Risk Assessment
Risk Factors
Rupture, Spontaneous
Journal
Journal of cardiovascular computed tomography
ISSN: 1876-861X
Titre abrégé: J Cardiovasc Comput Tomogr
Pays: United States
ID NLM: 101308347
Informations de publication
Date de publication:
Historique:
received:
04
03
2019
revised:
05
06
2019
accepted:
08
07
2019
pubmed:
10
12
2019
medline:
8
9
2020
entrez:
10
12
2019
Statut:
ppublish
Résumé
Sudden death is the most abrupt clinical presentation of acute coronary syndrome. The presence of acute luminal thrombosis is the histopathological hallmark of sudden coronary death. There are 3 main etiologies that can give rise to an acute luminal thrombus: plaque rupture, plaque erosion and, less frequently, eruptive calcified nodules. Coronary computed tomography angiography (CCTA) has the ability to identify high-risk plaque features of coronary artery disease that are associated with future adverse cardiac events. In this report, we illustrate 2 cases of suspected sudden coronary death with a thorough description of how CCTA can be employed to detect high-risk plaque features using histopathology as a gold standard.
Identifiants
pubmed: 31813783
pii: S1934-5925(19)30124-8
doi: 10.1016/j.jcct.2019.07.005
pii:
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
214-218Informations de copyright
Copyright © 2020. Published by Elsevier Inc.
Déclaration de conflit d'intérêts
Declaration of competing interest All authors have no relevant conflicts of interest to disclose.