Physical exertion as a trigger of acute coronary syndrome caused by plaque erosion View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-03-06

AUTHORS

Ayami Kato, Yoshiyasu Minami, Aritomo Katsura, Yusuke Muramatsu, Toshimitsu Sato, Ryota Kakizaki, Teruyoshi Nemoto, Takuya Hashimoto, Kazuhiro Fujiyoshi, Kentaro Meguro, Takao Shimohama, Junya Ako

ABSTRACT

Distinct clinical characteristics have been demonstrated in patients with plaque erosion as compared with those with plaque rupture. We reasoned that greater physical activity might influence the onset of plaque erosion. In total, 97 consecutive patients with non ST-segment elevation acute coronary syndrome (ACS) who underwent optical coherence tomography (OCT) imaging of the culprit lesion were enrolled. OCT-determined culprit plaque characteristics were plaque erosion (18.6%), calcified plaque (26.8%), plaque rupture (32.0%) and other (22.7%). The physical activity evaluated by estimated metabolic equivalents (METs) at ACS onset was significantly greater in the plaque erosion group than in the plaque rupture group (3.3 ± 1.7 vs. 2.1 ± 1.0, p = 0.011). The rate of ACS onset outdoors was the highest (61.1%) in the plaque erosion group. The combination of greater physical activity (> 3 METs), outdoor onset and higher body mass index (> 25.1 kg/m2) had a significant odds ratio for the incidence of plaque erosion (odds ratio 15.0, 95% confidence interval 3.81 to 59.0, p < 0.001). Plaque erosion was associated with greater physical activity at the onset. This finding may help to further clarify the pathogenesis of ACSGraphic abstractImpact of physical exertion on the incidence of plaque erosion. NSTE-ACS, non ST-segment elevation acute coronary syndrome. More... »

PAGES

377-385

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11239-020-02074-y

DOI

http://dx.doi.org/10.1007/s11239-020-02074-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1125452788

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32144654


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