Coronary Artery Calcification Revisited

DOI Web Site PubMed 被引用文献7件 参考文献68件 オープンアクセス
  • Ehara Shoichi
    Department of Internal Medicine and Cardiology, Osaka City University Graduate School of Medicine, Osaka, Japan.
  • Kobayashi Yoshiki
    Department of Internal Medicine and Cardiology, Osaka City University Graduate School of Medicine, Osaka, Japan.
  • Yoshiyama Minoru
    Department of Internal Medicine and Cardiology, Osaka City University Graduate School of Medicine, Osaka, Japan.
  • Ueda Makiko
    Department of Pathology, Osaka City University Graduate School of Medicine, Osaka, Japan.
  • Yoshikawa Junichi
    Osaka Ekisaikai Hospital, Osaka, Japan.

書誌事項

公開日
2006
DOI
  • 10.5551/jat.13.31
公開者
一般社団法人 日本動脈硬化学会

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説明

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.

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