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Review
. 2006 Feb;13(1):31-7.
doi: 10.5551/jat.13.31.

Coronary artery calcification revisited

Affiliations
Free article
Review

Coronary artery calcification revisited

Shoichi Ehara et al. J Atheroscler Thromb. 2006 Feb.
Free article

Abstract

Calcification is a common finding in human coronary arteries. However, there is conflicting evidence for a link between calcification and plaque instability. Current intravascular ultrasound (IVUS) technology allows a definitive detection of the calcification and measurement of the vessel wall. Using preinterventional IVUS images, we clarified that in patients with acute myocardial infarction, small "spotty" calcifications prevailed, associated with a fibrofatty plaque and positive remodeling. Conversely, in patients with stable angina pectoris, extensive calcification was frequent. IVUS allows the detection of vulnerable plaques in coronary arteries, by identifying not only a large lipid core and positive remodeling, but also a spotty pattern of calcification.

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