Key result
Antithrombotic therapy without stenting shows promise for ACS caused by plaque erosion.
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This Viewpoint summarizes the pathophysiology and clinical features of atherosclerotic plaque erosion as an underlying mechanism of acute coronary syndromes (ACS) distinct from plaque rupture and reviews evidence that antithrombotic therapy without PCI and stenting may be optimal treatment.
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Kolte et al. (2021) studied this question. Antithrombotic therapy without PCI and stenting may be the optimal treatment for acute coronary syndromes caused by atherosclerotic plaque erosion, a mechanism distinct from plaque rupture.
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