Coronary Artery Vulnerable Plaque Detection And Characterization: What Do Cardiologists Need To Know?

Faculty Medicine Year: 2021
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Journal of cardiovascular disease researchh Journal of cardiovascular disease researchh Volume:
Keywords : Coronary Artery Vulnerable Plaque Detection , Characterization:    
Abstract:
Abstract Acute coronary syndrome is often precipitated by a sudden thrombosis induced by the rupture or erosion of an atherosclerotic plaque. In individuals with acute chest pain, culprit lesions' non-invasive detection has the ability to improve non-invasive risk classification. Coronary computed tomography angiography [CCTA] detects luminal stenosis and visualizes atheromatous mural changes [coronary plaques]. A higher risk of acute cardiovascular events is seen in individuals having a large plaque volume, positive remodeling, napkin-ring sign, spotty calcification, and low CT attenuation. Coronary CTA has shown to be a promising method for determining coronary lesions' functional significance via the use of rest/dynamic myocardial CT perfusion and/or CT-derived fractional flow reserve [FFR-CT]. Other invasive procedures as intravascular ultrasound and optical coherence topography gain important insights but are limited to high-risk patients.
    
     
 
       

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