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•Prevention of
heart attacks must
be the primary
goal.
Treatment should
be regarded as
“locking the
barn door
after the
ho...
Introducing
The Vulnerable Patient Consensus Statement
Published in
Circulation Journal Vol108, No14; October 7, 2003
Naghavi et al. Circulation. 2003;108:1664
The most common type
Underlying Pathologies of "Culprit" Coronary Lesions
Circulation. 2003;108:1664
Ruptured plaques ( ~ 70%)
• Stenotic ( 20%...
From Davies and Falk
A typical rupture-prone vulnerable plaque
Aha 2009 v_plaque_characterization
Aha 2009 v_plaque_characterization
Aha 2009 v_plaque_characterization
Aha 2009 v_plaque_characterization
Aha 2009 v_plaque_characterization
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Aha 2009 v_plaque_characterization

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Aha 2009 v_plaque_characterization

  1. 1. •Prevention of heart attacks must be the primary goal. Treatment should be regarded as “locking the barn door after the horse is stolen” Eugene Braunwald Drug Eluting Stent Lock!
  2. 2. Introducing The Vulnerable Patient Consensus Statement Published in
  3. 3. Circulation Journal Vol108, No14; October 7, 2003
  4. 4. Naghavi et al. Circulation. 2003;108:1664 The most common type
  5. 5. Underlying Pathologies of "Culprit" Coronary Lesions Circulation. 2003;108:1664 Ruptured plaques ( ~ 70%) • Stenotic ( 20%) • Nonstenotic ( 50%) Nonruptured plaques ( ~ 30%) • Erosion • Calcified nodule • Others/Unknown *Adapted from Falk and associates,6 Davies,7 and Virmani and colleagues.7
  6. 6. From Davies and Falk A typical rupture-prone vulnerable plaque

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