Differences in Progression to Obstructive Lesions per High-Risk Plaque Features and Plaque Volumes With CCTA

Document Type

Article

Publication Date

6-1-2020

Publication Title

JACC: Cardiovascular Imaging

Abstract

© 2020 American College of Cardiology Foundation Objectives: This study explored whether the pattern of nonobstructive lesion progression into obstructive lesions would differ according to the presence of high-risk plaque (HRP). Background: It is still debatable whether HRP simply represents a certain phase during the natural history of coronary atherosclerotic plaques or if disease progression would differ according to the presence of HRP. Methods: Patients with nonobstructive coronary artery disease, defined as percent diameter stenosis (%DS) 0.05). Conclusions: The pattern of individual coronary atherosclerotic plaque progression differed according to the presence of HRP. Baseline PAV, not the presence of HRP features, was the most important predictor of lesions developing into obstructive lesions. (Progression of Atherosclerotic Plaque Determined By Computed Tomographic Angiography Imaging [PARADIGM]; NCT02803411)

Volume

13

Issue

6

First Page

1409

Last Page

1417

DOI

10.1016/j.jcmg.2019.09.011

ISSN

1936878X

PubMed ID

31734214

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