OCT identifies additional vulnerable lesions in post-AMI patients

OCT identifies additional vulnerable lesions in post-AMI patients: "OCT finds additional at-risk lesions in AMI patients
January 29, 2010 Shelley Wood
Wakayama, Japan - In one of the first studies to use optical coherence tomography (OCT) imaging to compare plaque vulnerability in different groups of at-risk subjects, Dr Takashi Kubo (Wakayama Medical University, Japan) and colleagues say they can identify important differences in the plaques of AMI patients and of patients with stable angina [1]. Investigators also found that plaques that met the definition of thin-cap fibroatheroma (TCFA), as well as thinner fibrous caps generally, were more common in the AMI patients than in the stable-angina subjects and that this was true not just of the infarct-related lesions, but also of the noninfarct lesions."

Diagnostic yield of angiography

Diagnostic yield of angiography: "ongoing National Institutes of Health-sponsored Prospective Imaging Study for Evaluation of Chest Pain (PROMISE), comparing CT angiography with functional stress testing in 10 000 patients, will provide important insights into how CT can be used to better risk-stratify this population."

NEJM PATEL 2010 xxxxxx