Comparison of Atherosclerotic Lesions in Patients With Acute Myocardial Infarction and Stable Angina Pectoris Using Intravascular Ultrasound

被引：0
作者：
Tagieva, N. R. [1 ]
Shakhnovich, R. M. [1 ]
Mironov, V. M. [1 ]
Yezhov, M. V. [1 ]
Matchin, Yu. G. [1 ]
Mitroshkin, M. G. [1 ]
Safarova, M. S. [1 ]
Shitov, V. N. [1 ]
Ruda, M. Ya. [1 ]
机构：
[1] Russian Cardiol Sci & Prod Complex, Inst Cardiol, Moscow, Russia
来源：
KARDIOLOGIYA | 2015年 / 55卷 / 07期
关键词：
unstable atherosclerotic plaque; acute myocardial infarction; angina pectoris; intravascular ultrasound; ACUTE CORONARY SYNDROME; PLAQUE RUPTURES; MULTIPLE;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Aim: to compare noninfarct-related lesions in patients with acute myocardial infarction (MI) with culprit and non-culprit lesions in patients with stable angina pectoris (SAP) using intravascular ultrasound virtual histology (VH-IVUS). Material and methods. Overall 70 patients were enrolled: 38 with ST elevation (STE) MI and 32 with stable angina pectoris (SAP). All patients underwent three-vessel coronary angiography and gray-scale and VH-IVUS after percutaneous coronary intervention (PCI) of infarct-related lesion in STEM! or culprit lesion in SAP. Results. A total of 130 plaques were examined: 70 in patients with STEMI and 60 in patients with SAP. Noninfarct-related lesions in acute MI compared with non-culprit lesions in SAP had significantly larger plaque burden and plaque volume, smaller minimum lumen area, and more positive remodeling. STEMI, hyperlipidemia, plaque burden, and hypertension were independent predictors of unstable plaques.
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页码：5 / 13
页数：9
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