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High Inflammation and Coronary Calcification in an Acute Coronary Syndrome Successfully Treated with Cutting Balloon

Emanuel Blîndu

Emanuel Blîndu

  • “George Emil Palade” University of Medicine, Pharmacy, Science and TechnologyTârgu Mureș, Romania
  • Department of Cardiology, Emergency Clinical County HospitalTârgu Mureș, Romania
  • Center of Advanced Research in Multimodality Cardiac Imaging, CardioMed Medical CenterTârgu Mureș, Romania
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Blîndu, Emanuel
, 
Botond-Barna Mátyás

Botond-Barna Mátyás

  • “George Emil Palade” University of Medicine, Pharmacy, Science and TechnologyTârgu Mureș, Romania
  • Department of Cardiology, Emergency Clinical County HospitalTârgu Mureș, Romania
  • Center of Advanced Research in Multimodality Cardiac Imaging, CardioMed Medical CenterTârgu Mureș, Romania
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Mátyás, Botond-Barna
, 
Balázs Bajka

Balázs Bajka

  • Department of Cardiology, Emergency Clinical County HospitalTârgu Mureș, Romania
  • Center of Advanced Research in Multimodality Cardiac Imaging, CardioMed Medical CenterTârgu Mureș, Romania
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Bajka, Balázs
, 
Corneliu-Florin Buicu

Corneliu-Florin Buicu

Public Health and Management Department, “George Emil Palade” University of Medicine, Pharmacy, Science and TechnologyTârgu Mureș, Romania
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Buicu, Corneliu-Florin
, 
Monica Chițu

Monica Chițu

  • “George Emil Palade” University of Medicine, Pharmacy, Science and TechnologyTârgu Mureș, Romania
  • Department of Cardiology, Emergency Clinical County HospitalTârgu Mureș, Romania
  • Center of Advanced Research in Multimodality Cardiac Imaging, CardioMed Medical CenterTârgu Mureș, Romania
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Chițu, Monica
 und 
Imre Benedek

Imre Benedek

  • “George Emil Palade” University of Medicine, Pharmacy, Science and TechnologyTârgu Mureș, Romania
  • Department of Cardiology, Emergency Clinical County HospitalTârgu Mureș, Romania
  • Center of Advanced Research in Multimodality Cardiac Imaging, CardioMed Medical CenterTârgu Mureș, Romania
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Benedek, Imre
  
09. Dez. 2023
High Inflammation and Coronary Calcification in an Acute Coronary Syndrome Successfully Treated with Cutting Balloon's Cover Image
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Artikel-Kategorie: Case Report
Online veröffentlicht: 09. Dez. 2023
Seitenbereich: 111 - 116
Eingereicht: 05. Nov. 2023
Akzeptiert: 25. Nov. 2023
DOI: https://doi.org/10.2478/jce-2023-0015
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© 2024 Emanuel Blîndu et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

FIGURE 1.

CCTA reconstruction of the LAD (A), LCX (B), and RCA (C). D – area from A; E – area from B; F – area from C. Orange arrows, coronary plaques; red lines, the arterial lumen; yellow lines, noncalcified plaque; blue lines, plaque with both calcified and non-calcified contents; green lines, a highly calcified plaque.
CCTA reconstruction of the LAD (A), LCX (B), and RCA (C). D – area from A; E – area from B; F – area from C. Orange arrows, coronary plaques; red lines, the arterial lumen; yellow lines, noncalcified plaque; blue lines, plaque with both calcified and non-calcified contents; green lines, a highly calcified plaque.

FIGURE 2.

Inflammation analysis. A – FAI score, representing the weighted FAI of the coronary artery with the highest degree of inflammation; B – CaRi-Heart risk, the risk of a fatal cardiac event if left untreated, based on the FAI score values, the coronary atherosclerotic plaque burden, and the clinical risk factors, showing a high risk for cardiac events; C – Inflammation mapping of LAD and RCA, with hues toward blues reprezenting a higher degree of inflammation
Inflammation analysis. A – FAI score, representing the weighted FAI of the coronary artery with the highest degree of inflammation; B – CaRi-Heart risk, the risk of a fatal cardiac event if left untreated, based on the FAI score values, the coronary atherosclerotic plaque burden, and the clinical risk factors, showing a high risk for cardiac events; C – Inflammation mapping of LAD and RCA, with hues toward blues reprezenting a higher degree of inflammation

FIGURE 3.

FAI score percentile placing the patient in the 98th percentile for inflammation adjusted for age and gender
FAI score percentile placing the patient in the 98th percentile for inflammation adjusted for age and gender

FIGURE 4.

Coronary angiography showing severe vascular disease. Red arrows, coronary stenoses on LAD and RCA; yellow lines, sites of stent implantation with minimal residual stenoses
Coronary angiography showing severe vascular disease. Red arrows, coronary stenoses on LAD and RCA; yellow lines, sites of stent implantation with minimal residual stenoses
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