Coronary artery calcification revisited

被引：27
作者：
Ehara, Shoichi
Kobayashi, Yoshiki
Yoshiyama, Minoru
Ueda, Makiko
Yoshikawa, Junichi
机构：
[1] Osaka City Univ, Grad Sch Med, Dept Internal Med & Cardiol, Abeno Ku, Osaka 5458585, Japan
[2] Osaka City Univ, Grad Sch Med, Dept Pathol, Osaka 5458585, Japan
[3] Osaka Ekisaikai Hosp, Osaka, Japan
来源：
JOURNAL OF ATHEROSCLEROSIS AND THROMBOSIS | 2006年 / 13卷 / 01期
关键词：
coronary disease; remodeling; ultrasonics; calcium; myocardial infarction;
D O I：
10.5551/jat.13.31
中图分类号：
R6 [外科学];
学科分类号：
1002 ; 100210 ;
摘要：
Calcification is a common finding in human coronary arteries. However, there is conflicting evidence for a link between calcification and plaque instability. Current intravascular ultrasound (IVUS) technology allows a definitive detection of the calcification and measurement of the vessel wall. Using preinterventional IVUS images, we clarified that in patients with acute myocardial infarction, small "spotty" calcifications prevailed, associated with a fibrofatty plaque and positive remodeling. Conversely, in patients with stable angina pectoris, extensive calcification was frequent. IVUS allows the detection of vulnerable plaques in coronary arteries, by identifying not only a large lipid core and positive remodeling, but also a spotty pattern of calcification.
引用
收藏
页码：31 / 37
页数：7
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