PMID- 21516074 OWN - NLM STAT- MEDLINE DCOM- 20110928 LR - 20151119 IS - 0026-4725 (Print) IS - 0026-4725 (Linking) VI - 59 IP - 3 DP - 2011 Jun TI - Clinical applicability of coronary atherosclerotic lesion characterization. PG - 255-70 AB - Native coronary atherosclerosis (CAS) is a diffuse and progressive disease process that is occasionally associated with either clinical atherothrombosis and/or major adverse cardiac events (MACE) including: ST elevation myocardial infarction (STEMI), acute coronary syndromes without ST elevation (ACSWSTE), heart failure, cardiac arrest and sudden cardiac death. Both, the timing and coronary site responsible for the MACE are currently unpredictable. Cardiovascular investigators have engaged in the task of characterizing CAS lesions in order to enhance our knowledge of CAS pathophysiology. It was expected that the knowledge acquired will allow scientists and clinicians to develop effective strategies to detect and treat "vulnerable plaque" (VP) prior to the evolution of MACE. This review discusses the emerging data regarding the pathology and natural history of the VP and vulnerable patient and the progress made in characterizing atherosclerotic plaque instability and vulnerability. Future directions in the field of plaque characterization and their potential clinical and research applications are discussed. FAU - Kaluski, E AU - Kaluski E AD - Division of Cardiology, Department of Medicine, University Hospital and New Jersey Medical School, Newark, NJ, USA. kalusked@umdnj.edu FAU - Waller, A AU - Waller A FAU - Patel, A AU - Patel A FAU - Gerula, C AU - Gerula C FAU - Maher, J AU - Maher J FAU - Haider, B AU - Haider B FAU - Klapholz, M AU - Klapholz M LA - eng PT - Journal Article PT - Review PL - Italy TA - Minerva Cardioangiol JT - Minerva cardioangiologica JID - 0400725 RN - 0 (Biomarkers) SB - IM MH - Acute Coronary Syndrome/pathology MH - Biomarkers/blood MH - Clinical Trials as Topic MH - Coronary Artery Disease/diagnosis/mortality/*pathology/physiopathology/therapy MH - Death, Sudden, Cardiac/pathology MH - Disease Progression MH - Evidence-Based Medicine MH - Heart Arrest/pathology MH - Heart Conduction System/physiopathology MH - Heart Failure/pathology MH - Humans MH - Myocardial Infarction/pathology MH - Plaque, Atherosclerotic/*pathology MH - Risk Assessment MH - Severity of Illness Index EDAT- 2011/04/26 06:00 MHDA- 2011/09/29 06:00 CRDT- 2011/04/26 06:00 PHST- 2011/04/26 06:00 [entrez] PHST- 2011/04/26 06:00 [pubmed] PHST- 2011/09/29 06:00 [medline] AID - R05113080 [pii] PST - ppublish SO - Minerva Cardioangiol. 2011 Jun;59(3):255-70.