[Comparison of Atherosclerotic Lesions in Patients With Acute Myocardial Infarction and Stable Angina Pectoris Using Intravascular Ultrasound]. Kardiologiia 2015;55(7):5-13
Date
12/23/2015Pubmed ID
26688920Scopus ID
2-s2.0-84944074520 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
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 STEMI 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.
Author List
Tagieva NR, Shakhnovich RM, Mironov YM, Yezhov MV, Matchin YG, Mitroshkin MG, Safarova MS, Shitov VN, Ruda MYAuthor
Maya S. Safarova MD, PhD Assistant Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Angina, StableCoronary Vessels
Diagnosis, Differential
Electrocardiography
Female
Humans
Male
Middle Aged
Myocardial Infarction
Percutaneous Coronary Intervention
Plaque, Atherosclerotic
Reproducibility of Results
Ultrasonography, Interventional
