E-viri
Recenzirano
Odprti dostop
-
Jia, Haibo, MD, PhD; Abtahian, Farhad, MD, PhD; Aguirre, Aaron D., MD, PhD; Lee, Stephen, MD; Chia, Stanley, MD; Lowe, Harry, MBChB, PhD; Kato, Koji, MD, PhD; Yonetsu, Taishi, MD; Vergallo, Rocco, MD; Hu, Sining, MD; Tian, Jinwei, MD, PhD; Lee, Hang, PhD; Park, Seung-Jung, MD, PhD; Jang, Yang-Soo, MD, PhD; Raffel, Owen C., MD; Mizuno, Kyoichi, MD, PhD; Uemura, Shiro, MD, PhD; Itoh, Tomonori, MD; Kakuta, Tsunekazu, MD; Choi, So-Yeon, MD, PhD; Dauerman, Harold L., MD; Prasad, Abhiram, MD; Toma, Catalin, MD; McNulty, Iris, RN; Zhang, Shaosong, MD, PhD; Yu, Bo, MD, PhD; Fuster, Valentine, MD, PhD; Narula, Jagat, MD, PhD; Virmani, Renu, MD; Jang, Ik-Kyung, MD, PhD
Journal of the American College of Cardiology, 11/2013, Letnik: 62, Številka: 19Journal Article
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 more common in patients with OCT-erosion (61.5% vs. 29.1%, p = 0.008) and OCT-CN (100% vs. 29.1%, p < 0.001). The OCT-erosion had a lower frequency of lipid plaque (43.6% vs. 100%, p < 0.001), thicker fibrous cap (169.3 ± 99.1 μm vs. 60.4 ± 16.6 μm, p < 0.001), and smaller lipid arc (202.8 ± 73.6° vs. 275.8 ± 60.4°, p < 0.001) than PR. The diameter stenosis was least severe in OCT-erosion, followed by OCT-CN and PR (55.4 ± 14.7% vs. 66.1 ± 13.5% vs. 68.8 ± 12.9%, p < 0.001). Conclusions Optical coherence tomography is a promising modality for identifying OCT-erosion and OCT-CN in vivo. The OCT-erosion is a frequent finding in patients with ACS, especially in those with non–ST-segment elevation ACS and younger patients. The OCT-CN is the least common etiology for ACS and is more common in older patients. (The Massachusetts General Hospital Optical Coherence Tomography Registry; NCT01110538 )
Avtor
Vnos na polico
Trajna povezava
- URL:
Faktor vpliva
Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
Ime baze podatkov | Področje | Leto |
---|
Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
---|
Vir: Osebne bibliografije
in: SICRIS
To gradivo vam je dostopno v celotnem besedilu. Če kljub temu želite naročiti gradivo, kliknite gumb Nadaljuj.