Document Detail


Complex and simple coronary artery stenoses: a new way to interpret coronary angiograms based on morphologic features of lesions.
MedLine Citation:
PMID:  3615865     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
For many years, atherosclerotic coronary artery lesions have been described by angiographers only in terms of location and degree of narrowing. However, it has become apparent that coronary stenoses generally have distinct morphologic features that can be recognized at angiography and that allow them to be classified as either "simple" or "complex" plaques. Complex plaques are those characterized by ulcerated or ruptured surfaces, subintimal hemorrhage, superimposed partially occluding thrombi, recanalized thrombi, or some combination. Pathologic studies have shown a very high frequency of these lesions at sites of total thrombotic occlusion of coronary arteries. Clinical and angiographic studies have demonstrated a high frequency of such lesions in living patients with both unstable angina and acute myocardial infarction. The presence of complex stenoses has also been found to increase the risk of future myocardial infarction. Plaque morphology thus appears to significantly affect the prognosis of patients with coronary disease and should be carefully evaluated in interpretation of all coronary angiograms.
Authors:
D C Levin; G A Gardiner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  164     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1987-09-14     Completed Date:  1987-09-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  675-80     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris / radiography
Angiography / methods*
Coronary Angiography*
Coronary Artery Disease / pathology,  radiography*
Coronary Vessels / pathology
Endoscopy / methods
Humans
Myocardial Infarction / radiography
Prognosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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