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Circulation, Vol 78, 1157-1166, Copyright © 1988 by American Heart Association
WC Little, M Constantinescu, RJ Applegate, MA Kutcher, MT Burrows, FR Kahl and WP Santamore
To help determine if coronary angiography can predict the site of a future
coronary occlusion that will produce a myocardial infarction, the coronary
angiograms of 42 consecutive patients who had undergone coronary
angiography both before and up to a month after suffering an acute
myocardial infarction were evaluated. Twenty-nine patients had a newly
occluded coronary artery. Twenty-five of these 29 patients had at least one
artery with a greater than 50% stenosis on the initial angiogram. However,
in 19 of 29 (66%) patients, the artery that subsequently occluded had less
than a 50% stenosis on the first angiogram, and in 28 of 29 (97%), the
stenosis was less than 70%. In every patient, at least some irregularity of
the coronary wall was present on the first angiogram at the site of the
subsequent coronary obstruction. In only 10 of the 29 (34%) did the
infarction occur due to occlusion of the artery that previously contained
the most severe stenosis. Furthermore, no correlation existed between the
severity of the initial coronary stenosis and the time from the first
catheterization until the infarction (r2 = 0.0005, p = NS). These data
suggest that assessment of the angiographic severity of coronary stenosis
may be inadequate to accurately predict the time or location of a
subsequent coronary occlusion that will produce a myocardial infarction.
ARTICLES
Can coronary angiography predict the site of a subsequent myocardial infarction in patients with mild-to-moderate coronary artery disease?
Department of Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27103.
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K. K. Koh Effects of estrogen on the vascular wall: vasomotor function and inflammation Cardiovasc Res, September 1, 2002; 55(4): 714 - 726. [Full Text] [PDF]
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T. J. Ryan The Coronary Angiogram and Its Seminal Contributions to Cardiovascular Medicine Over Five Decades Circulation, August 6, 2002; 106(6): 752 - 756. [Full Text] [PDF]
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W. Y. Kim, M. Stuber, P. Bornert, K. V. Kissinger, W. J. Manning, and R. M. Botnar Three-Dimensional Black-Blood Cardiac Magnetic Resonance Coronary Vessel Wall Imaging Detects Positive Arterial Remodeling in Patients With Nonsignificant Coronary Artery Disease Circulation, July 16, 2002; 106(3): 296 - 299. [Abstract] [Full Text] [PDF]
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R. P. Choudhury, V. Fuster, J. J. Badimon, E. A. Fisher, and Z. A. Fayad MRI and Characterization of Atherosclerotic Plaque: Emerging Applications and Molecular Imaging Arterioscler Thromb Vasc Biol, July 1, 2002; 22(7): 1065 - 1074. [Abstract] [Full Text] [PDF]
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P. R. Moreno, K. R. Purushothaman, V. Fuster, and W. N. O'Connor Intimomedial Interface Damage and Adventitial Inflammation Is Increased Beneath Disrupted Atherosclerosis in the Aorta: Implications for Plaque Vulnerability Circulation, May 28, 2002; 105(21): 2504 - 2511. [Abstract] [Full Text] [PDF]
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R. A. Kerensky, M. Wade, P. Deedwania, W. E. Boden, C. J. Pepine, and Veterans Affairs Non-Q-Wave Infarction Strategies Revisiting the culprit lesion in non-Q-wave myocardial infarction: Results from the VANQWISH trial angiographic core laboratory J. Am. Coll. Cardiol., May 1, 2002; 39(9): 1456 - 1463. [Abstract] [Full Text] [PDF]
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D. D. Miller Coronary flow studies for risk stratification in multivessel disease: A physiologic bridge too far? J. Am. Coll. Cardiol., March 6, 2002; 39(5): 859 - 863. [Full Text] [PDF]
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C. Di Mario Vulnerable plaques: let's stop sinking on submerged icebergs? Eur. Heart J., March 1, 2002; 23(5): 349 - 351. [Full Text] [PDF]
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G.F. Gensini and B. Dilaghi The unstable plaque Eur. Heart J. Suppl., March 1, 2002; 4(suppl_B): B22 - B27. [Abstract] [PDF]
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E.G. Zouridakis, R. Schwartzman, X. Garcia-Moll, I.D. Cox, S. Fredericks, D.W. Holt, and J.C. Kaski Increased plasma endothelin levels in angina patients with rapid coronary artery disease progression Eur. Heart J., September 1, 2001; 22(17): 1578 - 1584. [Abstract] [PDF]
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L. Schwartz and M. G. Bourassa Evaluation of Patients With Chest Pain and Normal Coronary Angiograms Arch Intern Med, August 13, 2001; 161(15): 1825 - 1833. [Full Text] [PDF]
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P. C. Keelan, L. F. Bielak, K. Ashai, L. S. Jamjoum, A. E. Denktas, J. A. Rumberger, P. F. Sheedy, II, P. A. Peyser, and R. S. Schwartz Long-Term Prognostic Value of Coronary Calcification Detected by Electron-Beam Computed Tomography in Patients Undergoing Coronary Angiography Circulation, July 24, 2001; 104(4): 412 - 417. [Abstract] [Full Text] [PDF]
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R. J. Krone, R. M. Hardison, B. R. Chaitman, R. J. Gibbons, G. Sopko, R. Bach, and K. M. Detre Risk stratification after successful coronary revascularization: the lack of a role for routine exercise testing J. Am. Coll. Cardiol., July 1, 2001; 38(1): 136 - 142. [Abstract] [Full Text] [PDF]
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 D. A. Zvara Treatment of Perioperative Myocardial Ischemia Seminars in Cardiothoracic and Vascular Anesthesia, July 1, 2001; 5(2): 166 - 183. [Abstract] [PDF]
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G. J. W. Bech, B. De Bruyne, N. H.J. Pijls, E. D. de Muinck, J. C.A. Hoorntje, J. Escaned, P. R. Stella, E. Boersma, J. Bartunek, J. J. Koolen, et al. Fractional Flow Reserve to Determine the Appropriateness of Angioplasty in Moderate Coronary Stenosis : A Randomized Trial Circulation, June 19, 2001; 103(24): 2928 - 2934. [Abstract] [Full Text] [PDF]
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C. von Birgelen, W. Klinkhart, G. S. Mintz, A. Papatheodorou, J.o. Herrmann, D. Baumgart, M. Haude, H. Wieneke, J. Ge, and R. Erbel Plaque distribution and vascular remodeling of ruptured and nonruptured coronary plaques in the same vessel: an intravascular ultrasound study in vivo J. Am. Coll. Cardiol., June 1, 2001; 37(7): 1864 - 1870. [Abstract] [Full Text] [PDF]
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F. Ledru, P. Ducimetiere, S. Battaglia, D. Courbon, F. Beverelli, L. Guize, J.-L.e. Guermonprez, and B. Diebold New diagnostic criteria for diabetes and coronary artery disease: insights from an angiographic study J. Am. Coll. Cardiol., May 1, 2001; 37(6): 1543 - 1550. [Abstract] [Full Text] [PDF]
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I. Gradus-Pizlo, S. G. Sawada, D. Wright, D. S. Segar, and H. Feigenbaum Detection of subclinical coronary atherosclerosis using two-dimensional, high-resolution transthoracic echocardiography J. Am. Coll. Cardiol., April 1, 2001; 37(5): 1422 - 1429. [Abstract] [Full Text] [PDF]
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