Does plaque rupture compared to intact fibrous cap assessed by OCT portend worse outcomes in patients with acute coronary syndrome?
In patients with ACS, plaque rupture identified by OCT is associated with a worse prognosis compared to an intact fibrous cap, suggesting its utility in risk stratification.
Patients with ACS presenting with PR as culprit lesion by OCT have a worse prognosis compared with that of patients with IFC. This finding should be taken into account in risk stratification and management of patients with ACS.
Niccoli et al. (Wed,) studied this question.