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Acute coronary syndromes: biology

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1 Acute coronary syndromes: biology
Dr Valentin Fuster, MD, Zahi A Fayad, PhD, Juan J Badimon, PhD  The Lancet  Volume 353, Pages s5-s9 (June 1999) DOI: /S (99) Copyright © 1999 Elsevier Ltd Terms and Conditions

2 Figure 1 Phases and lesion morphology of progression of coronary atherosclerosis according to gross pathological and clinical findings Modified with permission from Fuster and colleagues.7 The Lancet  , s5-s9DOI: ( /S (99) ) Copyright © 1999 Elsevier Ltd Terms and Conditions

3 Figure 2 Plaque vulnerability, disruption, and thrombosis: anatomical changes leading to ACS and subsequent plaque remodelling An element of vasoconstriction is usually present. Modified with permission from Theroux and Fuster.34 The Lancet  , s5-s9DOI: ( /S (99) ) Copyright © 1999 Elsevier Ltd Terms and Conditions

4 Figure 3 Effects of rTFPi on thrombogenicity of disrupted lipid-rich human atherosclerotic plaques: control (A) and rTFPI-treated(B) Fibrinogen deposition is shown as green, platelet deposistion as red, and their co-localisation as orange. Note the significant antithrombotic effect of rTFPI on deposition of platelet and fibrin(ogen)deposition. With permission from Badimon and colleagues.23 The Lancet  , s5-s9DOI: ( /S (99) ) Copyright © 1999 Elsevier Ltd Terms and Conditions

5 Figure 4 In-vivo cross-sectional imaging of human thoracic aorta with MRI(A) and tansoesophageal echo(B) Observe presence of a lipid-rich core indicated by the arrow in MRI view. The Lancet  , s5-s9DOI: ( /S (99) ) Copyright © 1999 Elsevier Ltd Terms and Conditions

6 Figure 5 In-vivo MRI cross-sectional imaging of the lumen(left) and wall (right) of patient with plaque in left anterior descending coronary artery LAD=left anterior descending coronary artery; GCV=great cardiac vein; RV=right ventricle; LV=left ventricle. The Lancet  , s5-s9DOI: ( /S (99) ) Copyright © 1999 Elsevier Ltd Terms and Conditions


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