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2006, Number S2

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Arch Cardiol Mex 2006; 76 (S2)

Permanent cardiac pacing in vasovagal syncope: ¿When and which?

Arias MA

Language: Spanish
References: 6
Page: 229-232
PDF size: 76.35 Kb.


ABSTRACT

The atherothromboses is the principal cause of death in the western World, the rupture of the vulnerable plaque is the trigger of the acute coronary syndromes. The importance of identifying the vulnerable plaque before its rupture continues being a challenge. At the moment the diagnosis can be made by noninvasive methods, like the presence of risk factors and blood markers of vulnerability and invasive methods like angiocospic. Although several methods exist, there is no one that gives all morphologic and inflammatory activity; it seems that the thermography is going to be the most helpful. The future will be not just the diagnosis of vulnerable plaque but the vulnerable patient.


REFERENCES

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  2. SCHAAR JA, MULLER JE, FALK E, VIRMANI R, FUSTER V, SERRUYS PW, COLOMBO A, STEFANADIS C, WARD CS, MORENO PR, MASERI A, VANDER STEEN AFW: Terminology for high-risk and vulnerable coronary artery plaques. Eur Heart J 2004; 25(12): 1077-1082.

  3. MORTEZA N, ET AL: From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: Part II. Circulation 2003; 108: 1772–1778.

  4. FAYAD ZA, FUSTER V, NIKOLAOU K, BECKER C: Computed tomography and magnetic resonance imaging for noninvasive coronary angiography and plaque imaging: current and potential future concepts. Circulation 2002; 106: 2026-2034.

  5. ASAKURA M, ET AL: Extensive development of vulnerable plaques as a pan-coronary process in patients with myocardial infarction: an angioscopic study. J Am Coll Cardiol 2001; 37: 1284–1288.

  6. STEFANADIS C, TOUTOUZAS K, TSIAMIS E, ET AL: Increased local temperature in human coronary atherosclerotic plaques: an independent predictor of clinical outcome in patients undergoing a percutaneous coronary intervention. J Am Coll Cardiol 2001; 37: 1277–1283.




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