Morphological Plaque Characteristics and Clinical Outcomes in Patients With Acute Coronary Syndrome and a Cancer History.
Acute Coronary Syndrome
/ diagnosis
Aged
Comorbidity
Female
Humans
Japan
/ epidemiology
Male
Neoplasms
/ epidemiology
Percutaneous Coronary Intervention
/ adverse effects
Plaque, Atherosclerotic
/ classification
Postoperative Complications
/ diagnosis
Remission Induction
Risk Assessment
Risk Factors
Rupture, Spontaneous
Surgery, Computer-Assisted
/ methods
Tomography, Optical Coherence
/ methods
acute coronary syndrome
cancer history
optical coherence tomography
plaque morphology
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:
03 08 2021
03 08 2021
Historique:
pubmed:
27
7
2021
medline:
25
2
2023
entrez:
26
7
2021
Statut:
ppublish
Résumé
Background Although patients with a cancer history have a 2 to 3 times higher risk for acute coronary syndrome (ACS), the morphological characteristics of ACS culprit plaque in those patients and their relations with clinical outcomes remain unknown. Methods and Results This retrospective, multicenter, observational cohort study included consecutive patients with ACS who underwent optical coherence tomography-guided emergent percutaneous coronary intervention. Patients were categorized into those without a cancer history, those with a cancer history, and those currently receiving cancer treatment. ACS culprit lesions were classified as plaque rupture, plaque erosion, or calcified nodule using optical coherence tomography. Plaque erosion frequency was significantly higher in culprit lesions of patients with current cancer and patients with cancer history than in those of patients without cancer history (56.3% versus 61.7% versus 36.5%). Calcified nodule incidence was significantly higher in patients without cancer history than in patients with current cancer and patients without cancer history (patients with current cancer: 12.4% versus patients without cancer history: 25.5% versus patients without cancer history: 12.6%,
Identifiants
pubmed: 34308680
doi: 10.1161/JAHA.120.020243
pmc: PMC8475681
doi:
Banques de données
UMIN-CTR
['UMIN000038442']
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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