Intravascular ultrasound findings in patients with acute coronary syndromes with and without elevated troponin I level

被引：13

作者：

Fuchs, S

Stabile, E

Mintz, GS

Pappas, CK

Maehara, A

Gruberg, L

Satler, LF

Pichard, AD

Kent, KM

Weissman, NJ

机构：

[1] Washington Hosp Ctr, Inst Cardiovasc Res, Washington, DC 20010 USA

[2] Washington Hosp Ctr, Cardiac Catheterizat Labs, Washington, DC 20010 USA

[3] Cardiovasc Res Fdn, New York, NY USA

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 2002年 / 89卷 / 09期

关键词：

D O I：

10.1016/S0002-9149(02)02282-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Preintervention intravascular ultrasound characteristics of native coronary artery culprit lesions were compared between patients with acute coronary syndromes and elevated troponin I levels and patients with acute coronary syndromes with normal troponin T on admission, Patients with elevated troponin I levels had: (1) larger lesion site external elastic membrane and plaque areas and plaque but-den: (2) larger reference segment external elastic membrane and plaque area; and (3) more evidence of thrombus, suggesting more complex lesions and more severe and diffuse coronary disease, which may explain the worse outcomes of patients with elevated troponin 1.

引用

收藏

页码：1111 / +

页数：4

相关论文

共 17 条

[1] Cardiac-specific troponin I levels to predict the risk of mortality in patients with acute coronary syndromes [J].

Antman, EM ;

Tanasijevic, MJ ;

Thompson, B ;

Schactman, M ;

McCabe, CH ;

Cannon, CP ;

Fischer, GA ;

Fung, AY ;

Thompson, C ;

Wybenga, D ;

Braunwald, E .

NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (18) :1342-1349

[2] Elevated cardiac troponin I predicts a high-risk angiographic anatomy of the culprit lesion in unstable angina [J].

Benamer, H ;

Steg, PG ;

Benessiano, J ;

Vicaut, E ;

Gaultier, CJ ;

Aubry, P ;

Boudvillain, O ;

Sarfati, L ;

Brochet, E ;

Feldmann, LJ ;

Himbert, D ;

Juliard, JM ;

Assayag, P .

AMERICAN HEART JOURNAL, 1999, 137 (05) :815-820

[3] In vivo validation of intravascular ultrasound length measurements using a motorized transducer pullback system [J].

Fuessl, RT ;

Mintz, GS ;

Pichard, AD ;

Kent, KM ;

Satler, LF ;

Popma, JJ ;

Leon, MB .

AMERICAN JOURNAL OF CARDIOLOGY, 1996, 77 (12) :1115-&

[4] Lesion characteristics of acute myocardial infarction: an investigation with intravascular ultrasound [J].

Fukuda, D ;

Kawarabayashi, T ;

Tanaka, A ;

Nishibori, Y ;

Taguchi, H ;

Nishida, Y ;

Shimada, K ;

Yoshikawa, J .

HEART, 2001, 85 (04) :402-406

[5] PHONOTACTIC RESTRICTIONS IN DISORDERED CHILD PHONOLOGY - A CASE-STUDY [J].

GRUNWELL, P ;

YAVAS, M .

CLINICAL LINGUISTICS & PHONETICS, 1988, 2 (01) :1-16

[6] Intravascular ultrasound predictors of major adverse cardiac events in patients with unstable angina [J].

Gyongyosi, M ;

Yang, P ;

Hassan, A ;

Domanovits, H ;

Laggner, A ;

Weidinger, F ;

Glogar, D .

CLINICAL CARDIOLOGY, 2000, 23 (07) :507-515

[7] The prognostic value of troponin in patients with non-ST elevation acute coronary syndromes: A meta-analysis [J].

Heidenreich, PA ;

Alloggiamento, T ;

Melsop, K ;

McDonald, KM ;

Go, AS ;

Hlatky, MA .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 38 (02) :478-485

[8] Coronary angiographic findings and troponin T in patients with unstable angina pectoris [J].

Jurlander, B ;

Farhi, ER ;

Banas, JJ ;

Keany, CM ;

Balu, D ;

Grande, P ;

Ellis, AK .

AMERICAN JOURNAL OF CARDIOLOGY, 2000, 85 (07) :810-814

[9] Serial quantitative coronary angiography and coronary events [J].

Mack, WJ ;

Xiang, M ;

Selzer, RH ;

Hodis, HN .

AMERICAN HEART JOURNAL, 2000, 139 (06) :993-999

[10] Atherosclerotic plaque burden and CK-MB enzyme elevation after coronary interventions - Intravascular ultrasound study of 2256 patients [J].

Mehran, R ;

Dangas, G ;

Mintz, GS ;

Lansky, AJ ;

Pichard, AD ;

Satler, LF ;

Kent, KM ;

Stone, GW ;

Leon, MB .

CIRCULATION, 2000, 101 (06) :604-610