Document Detail


Progression of nonculprit plaque stenosis following successful percutaneous intervention.
MedLine Citation:
PMID:  18388075     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite percutaneous intervention after an acute coronary syndrome, patients remain at high risk for recurrent events in the first year. Prior studies have shown that a plaque rupture can occur not only at a single culprit lesion site but also in other atherosclerotic plaques throughout the coronary vasculature in patients with stable angina, silent myocardial ischemia, and during acute coronary syndromes. A 71-year-old man who presented with exertional angina and who had a successful stent in a culprit right coronary artery is described in this article. After 4 weeks, he represented with accelerated angina. A prior lesion in the obtuse marginal artery, remote from the site of the index lesion, had progressed from a 30% to 90% stenosis. This case report demonstrates the systemic nature of acute coronary syndromes, highlights the inherent instability of coronary artery disease, and supports the notion of aggressive secondary prevention in these patients.
Authors:
T Jared Bunch; Charanjit S Rihal; Richard J Gumina; Leslie Cooper; Noel M Caplice
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-02
Journal Detail:
Title:  Angiology     Volume:  59     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:    2008 Apr-May
Date Detail:
Created Date:  2008-04-11     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  236-9     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA. bunch.thomas18@mayo.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Angiography
Coronary Artery Disease / radiography,  therapy*
Coronary Stenosis / radiography,  therapy*
Disease Progression
Humans
Male
Stents

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


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