American College of Cardiology

TAYLOR ET AL., 34th BETHESDA CONFERENCE: Can Atherosclerosis Imaging Techniques Improve the Detection of Patients at Risk for Ischemic Heart Disease?
J Am Coll Cardiol 2003;41:11:1855-917

BETHESDA CONFERENCE REPORT
34th Bethesda Conference: Can Atherosclerosis Imaging Techniques Improve the Detection of Patients at Risk for Ischemic Heart Disease?¹

Allen P. Burke, MD, FACC, Co-Chair, Renu Virmani, MD, FACC, Co-Chair, Zorina Galis, PHD, Christian C. Haudenschild, MD, FESC, James E. Muller, MD, FACC


Figure 5.

Figure 5. The distribution frequency of plaque ruptures (A,B) and thin-cap atheromas (C,D) by size of lipid core or lipid core as a percent of plaque area (x). The majority of plaque ruptures occur when lipid core area forms 25% to 50% of plaque area, or 1 to 3 mm2 lipid core area. In the case of thin-cap atheromas, the degree of cross-sectional area luminal narrowing and area of necrotic core is shifted to the left (lesser or smaller) as compared to plaque ruptures. Data derived from sudden death registry, Armed Forces Institute of Pathology (32).