Dr. Paddy Barrett

DECEMBER 19, 2023

You cannot eliminate the plaque entirely, but multiple clinical trials have shown plaque regression using high-intensity cholesterol-lowering treatments, which I have discussed previously. All of these parameters are important and need to be considered when evaluating plaque regression. REVERSAL Investigators.

Coronary Artery Disease 105

Coronary Artery Disease Plaque Exercise Heart Attack 105

Dr. Paddy Barrett

OCTOBER 4, 2024

Everyone starts with no plaque in the coronary arteries, but over a long enough time frame, everyone develops plaque in their coronary arteries. By age 80, almost everyone will have evidence of advanced plaque in their coronary arteries, as defined by a cardiac CT 1. Plaque accumulation happens in stages. You got it.

Heart Disease 104

Heart Disease Plaque Cholesterol Risk Factors 104

Journal of the American Heart Association

MARCH 6, 2024

We used carotid ultrasounds to detect plaque at baseline and follow‐up in 2006 to 2009 (median follow‐up=5.5 had incident plaque (109/1104 plaque‐free participants with baseline and follow‐up ultrasounds), 11.0% Lipids were measured after a 12‐hour fast. Approximately 2.8% During follow‐up, 9.9%

Plaque 75

Plaque Cholesterol Ultrasound Risk Factors 75

Frontiers in Cardiovascular Medicine

MAY 21, 2024

We report a case of TRAD in the early postoperative period, which was successfully managed with intravascular ultrasound-assisted endovascular intervention.Case presentationA 38-year-old man underwent HLA-compatible living kidney transplantation. Most cases are managed by operative repair.

Transplant 52

Transplant Ultrasound Plaque Atherosclerosis 52

Stroke Journal

JANUARY 30, 2025

Introduction:Nonstenotic carotid plaque is found in some patients with otherwise cryptogenic stroke (CS) but also in normal individuals and patients with stroke of known cause (KS). Methods of vessel imaging were carotid duplex ultrasound, CTA, and MRA. Stroke, Volume 56, Issue Suppl_1 , Page ATP296-ATP296, February 1, 2025.

Plaque 40

Plaque Stroke Strokes Ultrasound 40

Open Heart

APRIL 18, 2022

Introduction Intravascular ultrasound (IVUS) improves clinical outcome in patients undergoing percutaneous coronary intervention (PCI) but dedicated prospective studies assessing the safety and efficacy of IVUS guidance during primary PCI are lacking.

Ultrasound 52

Ultrasound Myocardial Infarction Cardiovascular Imaging Plaque 52

Circulation

NOVEMBER 11, 2024

The incidence of no-reflow was higher in patients with attenuated plaque ≥5 mm in length as evaluated by intravascular ultrasound (IVUS).Objective:The The proportion of low attenuation plaque observed by IVUS with a length of ≥5 mm was significantly higher in the no-reflow group compared to the reflow group (52.6%

Ultrasound 40

Ultrasound Plaque Blood Pressure Myocardial Infarction 40

Stroke Journal

FEBRUARY 9, 2024

BACKGROUND:HIV and hepatitis C virus (HCV) are associated with increased risk of carotid artery atherosclerotic plaque and stroke. Plaques were characterized from 6 areas of the right carotid artery. 2.78]) were each associated with higher prevalence of predominantly echogenic plaque. Stroke, Ahead of Print.

Plaque 40

Plaque Ultrasound Risk Factors Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Carotid ultrasound results were divided into two groups based on the presence or absence of plaque. Carotid plaque was observed in 1140 (43.5%) subjects and CACS>0 in 1172 (44.7%) subjects. Lp(a) levels were categorized into two groups: below 50 mg/dl and 50 mg/dl or higher. 1692 (64.6%) were male.

Plaque 40

Plaque Coronary Artery Disease Ultrasound Atherosclerosis 40

Stroke Journal

JANUARY 12, 2024

Incident carotid plaques and their vulnerability were detected by carotid ultrasound at follow-up (2021). Higher sdLDL-C or sdLDL-C/LDL-C ratio, but not LDL-C, was significantly associated with an increased risk of incident carotid plaques. years (SD=0.14). years (SD=0.14). 9.90];P=0.027;Pfor linear trend=0.025).

Plaque 40

Plaque Cholesterol Ultrasound Risk Factors 40

DAIC

NOVEMBER 8, 2024

The Philips laser catheter integrates two critical PAD treatments into a single device, significantly simplifying the treatment workflow – atherectomy to remove atherosclerotic plaque from the internal surface of an artery, and intravascular lithotripsy to modify calcium deposits within the artery or disrupt calcium deposits in the artery wall.

Innovation 52

Innovation Peripheral Arterial Disease Technology Ultrasound 52

DAIC

JANUARY 9, 2024

It provides detailed information about the vessel wall, plaque composition, and blood flow characteristics, enabling more accurate diagnosis and treatment planning. IVUS is a minimally invasive imaging technique that allows physicians to visualize the inside of blood vessels in real-time.

Peripheral Arterial Disease 105

Peripheral Arterial Disease Ultrasound Angioplasty Interventional Cardiology 105

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

MINOCA may be due to: coronary spasm, coronary microvascular dysfunction, plaque disruption, spontaneous coronary thrombosis/emboli , and coronary dissection; myocardial disorders, including myocarditis, takotsubo cardiomyopathy, and other cardiomyopathies. Thus, intracoronary imaging modalities are crucial in this setting. From Gue at al.

Coronary Angiogram 110

Coronary Angiogram Plaque Thrombosis STEMI 110

Journal of the American Heart Association

MARCH 13, 2025

In the subsample of patients without clinical CAD but with femoral plaque on ultrasound (n=58) who underwent cardiac computed tomography, 46% (n=27) had nonobstructive CAD and 28% (n=16) had obstructive CAD. The prevalence of CAD was 25.2% (n=97) (nonobstructive, 9.6% [n=37]; and obstructive, 15.6% [n=60]).

Coronary Artery Disease 40

Coronary Artery Disease Stroke Strokes Ultrasound 40

Circulation

NOVEMBER 11, 2024

The primary outcome was the prevalence of carotid artery plaques assessed by ultrasound. Secondary outcomes included changes in NMR-derived lipoprotein subclasses and their mediation effects on carotid plaque. Fish oil supplementation was significantly associated with reduced prevalence of carotid plaques (P=0.023).

Atherosclerosis 40

Atherosclerosis Diabetes Plaque Cholesterol 40

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. It is not rare.

Plaque 128

Plaque Angina Blog Stents 128

Dr. Smith's ECG Blog

JANUARY 5, 2024

Although it is statistically unlikely, multiple plaque ruptures are possible. On intravascular ultrasound (IVUS), the mid RCA plaque was described as "cratered, inflamed, and bulky," and the OM plaque was described as "bulky with evidence of inflammation and probably ulceration." Heitner et al.

Angina 122

Angina Plaque Document Stents 122

Dr. Smith's ECG Blog

MAY 20, 2024

The scan also showed “scattered coronary artery plaques”. __ Smith comment 1 : the appropriate management at this point is to lower the blood pressure (lower afterload, which increases myocardial oxygen demand). Smith comment : Is the ACS (rupture plaque) with occlusion that is now reperfusing?

Chest Pain 127

Chest Pain Blood Pressure Ischemia STEMI 127

All About Cardiovascular System and Disorders

APRIL 22, 2024

This in turn can enhance the chance of plaque build-up in the blood vessels of the heart (coronary arteries). Ultrasound image of the heart – echocardiogram, showing fluid collection around the heart, marked as PE, short for pericardial effusion. Reduced function of the thyroid gland is also associated with heart disease.

Heart Disease 52

Heart Disease Heart Failure Blood Pressure Atrial Fibrillation 52

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

Smith comment : a very high proportion of MINOCA are ruptured plaque with lysed thrombus. That plaque is at risk of thrombosing again. It is worthwhile remembering that the majority of plaques which rupture are non-obstructive before they ulcerate and thrombose. Most plaque is outside the lumen!!

Plaque 67

Plaque Stents Stent Chest Pain 67

Heart BMJ

JANUARY 10, 2024

Invasive coronary imaging with intravascular ultrasound or optical coherence tomography should be used, when available, during index angiography to detect plaque disruption or spontaneous coronary artery dissection.

Myocardial Infarction 40

Myocardial Infarction Coronary Artery Disease Ultrasound Plaque 40

Stroke Journal

JANUARY 30, 2025

Residents aged 18 years or older in the sampled areas were included in this study, and data were collected through questionnaires, physical examinations, laboratory tests, carotid ultrasound examinations, and biological sample collection. A consent information platform for data collection and quality control management was also developed.

Atherosclerosis 40

Atherosclerosis Plaque Stenosis Cardiovascular Disease 40

All About Cardiovascular System and Disorders

APRIL 30, 2024

Plaque regression can be demonstrated by ultrasound evaluation of the carotids which are easily accessible. Of course, exercise burns out extra calories and reduces body weight, which in turn is due to a decrease in the fat deposits. Regular exercise can bring down the blood pressure in the long run.

Exercise 52

Exercise Heart Disease Blood Pressure Cholesterol 52

Heart BMJ

JANUARY 29, 2024

The left system showed no disease in the left main stem, but mild plaque disease in the dominant left circumflex artery. Intravascular ultrasound was also performed ( figure 1B ). The right coronary artery was small and free of disease. Angiographic findings of the left anterior descending artery are shown in figure 1A.

Chest Pain 40

Chest Pain Angina Ultrasound Plaque 40

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. An angiogram is a "lumenogram;" most plaque is EXTRALUMINAL!!

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

ADN Center of Excellence

NOVEMBER 20, 2023

As technologies advance and methodologies evolve, two crucial tools stand out for their pivotal roles in enhancing accuracy and efficacy: Optical Coherence Tomography (OCT) and Intravascular Ultrasound (IVUS). OCT employs light waves to capture high-resolution images, providing intricate details of vessel structures and plaque composition.

Interventional Cardiology 52

Interventional Cardiology Education Technology Ultrasound 52

Dr. Smith's ECG Blog

APRIL 22, 2024

Bedside ultrasound with no apparent wall motion abnormalities, no pericardial effusion, no right heart strain. Angiography : --Culprit for the patient's unstable angina/Wellen syndrome is a ruptured plaque in the mid LAD. --As Course : Aspirin 325mg, chemistry, CBC, troponin panel all ordered.

Chest Pain 119

Chest Pain Myocardial Infarction Anatomy Angina 119

ADN Center of Excellence

SEPTEMBER 27, 2023

In the rapidly changing field of cardiology, IVUS (Intravascular Ultrasound) and OCT (Optical Coherence Tomography) have seen significant growth. IVUS reveals plaque characteristics, optimal stent usage, and vessel measurements. Keeping up with the times isn't a choice anymore – it's a must.

Education 52

Education Best Practices Stents Stent 52

Dr. Smith's ECG Blog

SEPTEMBER 20, 2011

We did a bedside cardiac ultrasound. The ECG and ultrasound could not have been differentiated from acute plaque rupture with occlusion of the RCA. So this ECG gets 8 points PLUS has excessive discordance in V1 PLUS has the finding in many leads, not just one. 3 points gets you an MI by Sgarbossa.

Cardiac Arrest 52

Cardiac Arrest STEMI Ultrasound Chest Pain 52

Dr. Smith's ECG Blog

MAY 19, 2020

If the arrest was caused by acute MI due to plaque rupture, then the diagnosis is MINOCA. Here is my comment on MINOCA: "Non-obstructive coronary disease" does not necessarily imply "no plaque rupture with thrombus." They often cannot even be recognized as culprits, as fissured or ulcerated plaque. What is Type 2 MI?

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

DAIC

FEBRUARY 29, 2024

ET Main Tent (Hall B1) Coronary Sinus Reducer for the Treatment of Refractory Angina: A Randomised, Placebo-controlled Trial (ORBITA-COSMIC) Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement in Patients at Low to Intermediate Risk: One Year Outcomes of the Randomized DEDICATE-DZHK6 Trial Effect of Alcohol-mediated Renal (..)

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Circulation

NOVEMBER 11, 2024

Once stabilized, intravascular ultrasound showed significant thrombus and plaque in the LAD. Due to ongoing shock despite initial mechanical support, the patient was escalated to an Impella CP device after a transthoracic echo confirmed no left ventricle thrombus.

Aortic valve 40

Aortic valve TAVR Aortic Chest Pain 40

ADN Center of Excellence

NOVEMBER 20, 2023

As technologies advance and methodologies evolve, two crucial tools stand out for their pivotal roles in enhancing accuracy and efficacy: Optical Coherence Tomography (OCT) and Intravascular Ultrasound (IVUS). OCT employs light waves to capture high-resolution images, providing intricate details of vessel structures and plaque composition.

Interventional Cardiology 40

Interventional Cardiology Education Technology Ultrasound 40

Dr. Sanjay Gupta

DECEMBER 19, 2022

Echocardiography – We can use ultrasound to visualize the heart and look at how well it pumps. With time, fat and cholesterol can get trapped in the areas of wear and tear and cause plaque formation. The plaques can damage us in 2 ways. This is termed as diastolic dysfunction.

Heart Rhythm 40

Heart Rhythm Plaque Heart Attack Heart attacks 40

Dr. Smith's ECG Blog

APRIL 12, 2023

On arrival, lung ultrasound confirmed pulmonary edema (B lines). Mild Plaque no angiographically significant obstructive coronary artery disease. There is STE and hyperacute T-waves in V2 and V3, with significant STE in I and aVL, and inferior reciprocal STD. This is proximal LAD Occlusion until proven otherwise.

Echocardiogram 52

Echocardiogram Pulmonary Cardiomyopathy Coronary Artery Disease 52

Dr. Smith's ECG Blog

OCTOBER 10, 2022

As in all ischemia interpretations with OMI findings, the findings can be due to type 1 AMI (example: acute coronary plaque rupture and thrombosis) or type 2 AMI (with or without fixed CAD, with severe regional supply/demand mismatch essentially equaling zero blood flow). Now another, with ultrasound. What is the Diagnosis?

Cardiac Arrest 52

Cardiac Arrest Chest Pain Embolism Pulmonary 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

She had some very minor plaque but certainly nothing that could explain the heart attack and therefore she was discharged with a diagnosis of MINOCA i.e Then I think it is important that patient has an assessment of the function of the heart by means of an ultrasound to look for cardiomyopathies, Takotsubo etc.

Heart Attack 40

Heart Attack Heart attacks Blood Clot Chest Pain 40