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European Heart Journal Advance Access originally published online on November 23, 2006
European Heart Journal 2006 27(24):2914-2915; doi:10.1093/eurheartj/ehl373
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Virtual histology and the hunt for the vulnerable plaque

Kari I. Saunamäki

Department of Cardiology, The Heart Center, Rigshospitalet, Blegdamsvej 9, Copenhagen 2100, Denmark

Corresponding author. Tel: +45 35453396; fax: +45 35452705. E-mail address: kari.saunamaki@rh.hosp.dk

This editorial refers to ‘Coronary plaque composition of culprit/target lesions according to the clinical presentation: a virtual histology intravascular ultrasound analysis’{dagger} by J.F. Surmely et al., on page 2939

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It is a generally accepted concept that acute thrombotic coronary artery occlusion occurs at the site of a vulnerable plaque (VP). Three different types of histopathological entities have been described in coronary arteries from victims of sudden death related to coronary artery disease: (i) plaque rupture, (ii) plaque erosion, and (iii) calcified nodule.1 A ruptured plaque consists of a necrotic core (NC) with ruptured overlying thin fibrous cap. In plaque erosion, there is a luminal thrombus with proteoglycans and smooth muscle cells and minimal inflammation in the vessel wall. NC is absent or covered with a thick fibrous cap. The calcified nodule consists of depot of calcifications with discontinuation of the fibrous cap and the absence of endothelium. In autopsy studies on cases of sudden death, . . . [Full Text of this Article]


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Related articles in EHJ:

Coronary plaque composition of culprit/target lesions according to the clinical presentation: a virtual histology intravascular ultrasound analysis
Jean-François Surmely, Kenya Nasu, Hiroshi Fujita, Mitsuyasu Terashima, Tetsuo Matsubara, Etsuo Tsuchikane, Mariko Ehara, Yoshihisa Kinoshita, Quan Xiu Zheng, Nobuyoshi Tanaka, Osamu Katoh, and Takahiko Suzuki
EHJ 2006 27: 2939-2944. [Abstract] [FREE Full Text]  



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A. D. Frutkin, S. K. Mehta, J. R. McCrary, and S. P. Marso
Limitations to the use of virtual histology-intravascular ultrasound to detect vulnerable plaque
Eur. Heart J., July 2, 2007; 28(14): 1783 - 1784.
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