Abstract
The long-term outcome of patients who present with an identified plaque rupture in a nonflow-limiting lesion is not well known. We retrospectively studied 17 consecutive patients in whom intravascular ultrasound identified plaque rupture in nonflow-limiting lesions (minimum lumen area >4.0 mm2) that were not treated with coronary intervention. After a mean follow-up of 43 +/- 25 months, events related to those lesions were 1 death (6%) of undetermined cause (6%) that occurred after 69 months, no myocardial infarction, and 2 revascularizations (12%) that occurred at 3 and 67 months. Overall, the cumulative rate of cardiac events was 18%.
Publication types
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Comparative Study
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Research Support, Non-U.S. Gov't
MeSH terms
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Aged
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Angina, Unstable / diagnostic imaging
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Angina, Unstable / etiology*
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Coronary Angiography
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Coronary Artery Disease / complications*
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Coronary Artery Disease / diagnosis
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Coronary Artery Disease / surgery
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Coronary Stenosis / complications*
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Coronary Stenosis / diagnosis
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Coronary Stenosis / surgery
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Coronary Vessels / diagnostic imaging*
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Female
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Follow-Up Studies
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Humans
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Male
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Myocardial Infarction / diagnostic imaging
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Myocardial Infarction / etiology*
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Myocardial Revascularization
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Prognosis
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Retrospective Studies
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Rupture, Spontaneous
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Time Factors
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Ultrasonography, Interventional