PREDICTION OF ACUTE CORONARY SYNDROMES BY PERCUTANEOUS CORONARY ANGIOSCOPY IN PATIENTS WITH STABLE ANGINA

被引:126
作者
UCHIDA, Y [1 ]
NAKAMURA, F [1 ]
TOMARU, T [1 ]
MORITA, T [1 ]
OSHIMA, T [1 ]
SASAKI, T [1 ]
MORIZUKI, S [1 ]
HIROSE, J [1 ]
机构
[1] FUNABASHI FUTAWA HOSP,DEPT CARDIOVASC DIS,FUNSBASHI,CHIBA,JAPAN
关键词
D O I
10.1016/0002-8703(95)90429-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To pinpoint the link between plaque characteristics and acute coronary syndromes, we performed a 12-month prospective follow-up study in 157 patients with stable angina pectoris in whom regular coronary plaques were observed by percutaneous coronary angioscopy. Acute coronary syndromes occurred more frequently in patients with yellow plaque than in those with white plaques (11 of 39 vs 4 of 118; p=0.00021). Moreover, the syndromes occurred more frequently in patients with glistening yellow plaques than in those with nonglistening yellow plaques (9 of 13 vs 2 of 26; p=0.00026). Thrombus arising from the ruptured identical plaques was confirmed by angioscopy as the culprit lesion of the syndromes. The results indicate that acute coronary syndromes occur frequently and in a short time in patients with glistening yellow plaques and that angioscopy but not angiography is feasible for prediction of the syndromes.
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页码:195 / 203
页数:9
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