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Rapidly progressive coronary atherosclerosis in a young male: a retrospective advanced CCT phenotype analysis.
- Source :
-
The international journal of cardiovascular imaging [Int J Cardiovasc Imaging] 2024 Aug 13. Date of Electronic Publication: 2024 Aug 13. - Publication Year :
- 2024
- Publisher :
- Ahead of Print
-
Abstract
- We present a real-life case of a very young man with multiple risk factors who progressed rapidly from minimally obstructive non-calcified plaque on computed tomography angiography (CCTA) to severe three-vessel coronary disease presenting with STEMI. It questions the reliability of zero coronary calcium in high-risk subgroups like familial hypercholesterolemia, high Lp(a), and the young. While CCTA can accurately visualize non-calcified plaque, its interpretation requires expertise and clinical judgment should consider both imaging and clinical risk factors for management. Advanced plaque quantification, peri-coronary (PCAT), and epicardial (EAT) adipose tissue could help better-stratified patients but the evidence-based clinical application remains unknown.<br /> (© 2024. The Author(s).)
Details
- Language :
- English
- ISSN :
- 1875-8312
- Database :
- MEDLINE
- Journal :
- The international journal of cardiovascular imaging
- Publication Type :
- Academic Journal
- Accession number :
- 39138786
- Full Text :
- https://doi.org/10.1007/s10554-024-03216-6