Journal «Angiology and Vascular Surgery» • 

2020 • VOLUME 26 • №3

Predictors of acute coronary syndrome in patients with ischaemic heart disease

Kochergin N.A., Kochergina A.M., Ganyukov V.I.

Laboratory of Roentgenoendovascular and Reconstructive Surgery of the Heart and Vessels, Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia

Acute coronary syndrome has for a long time been giving no way of decreasing mortality related to ischaemic heart disease. The primary cause of acute coronary syndrome in the majority of cases is rupture of an unstable atherosclerotic plaque in the coronary artery followed by thrombosis thereof. The main missions of modern cardiology include: assessment of the risk of acute coronary syndrome, identification of predictors of adverse events, and working-out of measures aimed at prevention and optimal management of patients with ischaemic heart disease.

This article deals with clinical and morphological factors associated with destabilization of coronary plaques, their rupture, and the development of an acute coronary event.

KEY WORDS: ischaemic heart disease, acute coronary syndrome, myocardial infarction, unstable plaque, thin-cap fibroatheroma, intravascular ultrasound.

P. 184

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