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
相关论文
共 34 条
  • [1] Prediction of coronary events with electron beam computed tomography
    Arad, Y
    Spadaro, LA
    Goodman, K
    Newstein, D
    Guerci, AD
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (04) : 1253 - 1260
  • [2] Relationship of clinical presentation and calcification of culprit coronary artery stenoses
    Beckman, JA
    Ganz, J
    Creager, MA
    Ganz, P
    Kinlay, S
    [J]. ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2001, 21 (10) : 1618 - 1622
  • [3] Morphological predictors of arterial remodeling in coronary atherosclerosis
    Burke, AP
    Kolodgie, FD
    Farb, A
    Weber, D
    Virmani, R
    [J]. CIRCULATION, 2002, 105 (03) : 297 - 303
  • [4] Effect of risk factors on the mechanism of acute thrombosis and sudden coronary death in women
    Burke, AP
    Farb, A
    Malcom, GT
    Liang, YH
    Smialek, J
    Virmani, R
    [J]. CIRCULATION, 1998, 97 (21) : 2110 - 2116
  • [5] Pathophysiology of calcium deposition in coronary arteries
    Burke, AP
    Weber, DK
    Kolodgie, FD
    Farb, A
    Taylor, AJ
    Virmani, R
    [J]. HERZ, 2001, 26 (04) : 239 - 244
  • [6] DISTRIBUTION OF CIRCUMFERENTIAL STRESS IN RUPTURED AND STABLE ATHEROSCLEROTIC LESIONS - A STRUCTURAL-ANALYSIS WITH HISTOPATHOLOGICAL CORRELATION
    CHENG, GC
    LOREE, HM
    KAMM, RD
    FISHBEIN, MC
    LEE, RT
    [J]. CIRCULATION, 1993, 87 (04) : 1179 - 1187
  • [7] ISCHEMIA-RELATED LESION CHARACTERISTICS IN PATIENTS WITH STABLE OR UNSTABLE ANGINA - A STUDY WITH INTRACORONARY ANGIOSCOPY AND ULTRASOUND
    DEFEYTER, PJ
    OZAKI, Y
    BAPTISTA, J
    ESCANED, J
    DIMARIO, C
    DEJAEGERE, PPT
    SERRUYS, PW
    ROELANDT, JRTC
    [J]. CIRCULATION, 1995, 92 (06) : 1408 - 1413
  • [8] MECHANISM OF CALCIFICATION IN ATHEROSCLEROSIS
    DEMER, LL
    WATSON, KE
    BOSTROM, K
    [J]. TRENDS IN CARDIOVASCULAR MEDICINE, 1994, 4 (01) : 45 - 49
  • [9] Vascular calcification and osteoporosis: inflammatory responses to oxidized lipids
    Demer, LL
    [J]. INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2002, 31 (04) : 737 - 741
  • [10] Spotty calcification typifies the culprit plaque in patients with acute myocardial infarction - An intravascular ultrasound study
    Ehara, S
    Kobayashi, Y
    Yoshiyama, M
    Shimada, K
    Shimada, Y
    Fukuda, D
    Nakamura, Y
    Yamashita, H
    Yamagishi, H
    Takeuchi, K
    Naruko, T
    Haze, K
    Becker, AE
    Yoshikawa, J
    Ueda, M
    [J]. CIRCULATION, 2004, 110 (22) : 3424 - 3429
1234