The new paradigm for coronary artery disease: altering risk factors, atherosclerotic plaques, and clinical prognosis.

Abstract:

:The old paradigm states that the greater the stenosis, the greater the risk of cardiac events. Revascularization procedures are the only effective approach to improving prognosis associated with coronary artery disease. In contrast, on the basis of the new paradigm, the nature of the plaque determines the risk of acute cardiovascular events. Dangerous plaques have a lipid-rich core with surrounding inflammation and a thin friable overlying fibrous cap, but they usually appear innocuous on angiography. Effective risk factor modification stabilizes the dangerous plaques and is associated with prompt improvement in endothelial dysfunction and a substantial decrease in the risk of acute cardiovascular events and death.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

O'Keefe JH Jr,Conn RD,Lavie CJ,Bateman TM

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

957-65

issue

10

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)63769-5

journal_volume

71

pub_type

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