Angina Plaque Thrombosis 
Dr. Smith's ECG Blog
SEPTEMBER 18, 2024
Thus, it has recently become generally accepted that most plaque ruptures resulting in myocardial infarction occur in plaques that narrow the lumen diameter by 40% of the arterial cross section may be involved by plaque. The pathologist may see a plaque that constitutes, for example, 50% of the cross-sectional area.
Dr. Smith's ECG Blog
DECEMBER 19, 2023
The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.
Dr. S. Venkatesan MD
JANUARY 14, 2024
In addition, the criteria require the absence of precordial Q waves, the presence of history of angina, and normal or slightly elevated cardiac serum markers. How common is thrombosis in the culprit artery of Wellen syndrome ? It is generally believed it is more of a mechanical plaque lesion.
EMS 12-Lead
JULY 24, 2023
Given the consistency of the clinical profile with typical angina, associated risk factors, and abnormal ECG findings, a cardiology consult was promptly requested. Category 1 : Sudden narrowing of a coronary artery due to ACS (plaque rupture with thrombosis and/or downstream showering of platelet-fibrin aggregates.
Dr. Smith's ECG Blog
NOVEMBER 30, 2022
Takotsubo is a sudden event, not one with crescendo angina. To prove there is no plaque rupture, you need to do intravascular ultrasound (IVUS). An angiogram is a "lumenogram;" most plaque is EXTRALUMINAL!! I need to innoculate you against the subsequent opinions below. It can only be seen by IVUS. MINOCA has many etiologies.
Dr. Smith's ECG Blog
NOVEMBER 3, 2023
Therefore it means acute type 1 ACS plaque rupture with impeded flow and impending full occlusion until proven otherwise. The reappearance of de Winter's pattern caused by acute stent thrombosis: A case report. He presented with recent angina that evolved into a 3-hour episode of persistent CP unrelieved by rest. Am J Emerg Med.
DAIC
JANUARY 23, 2024
Atherosclerotic cardiovascular disease (ASCVD), caused by plaque buildup in arterial walls, is one of the leading causes of disability and death worldwide.1,2 7 Research has shown inflammation plays a significant role in the development of atherosclerosis and ASCVD,8-10 and even the formation of plaque.11 4 In the U.S.
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