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Association of Small Dense LDL Cholesterol and Inflammation with Plaque Rupture in Acute Coronary Syndrome: An OCT Study

delete2026-06-12
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PRE
AI
K
Kengo Suzuki
T
Teruo Sekimoto *
S
Shinji Koba
T
Taito Arai
H
Hiroyoshi Mori
K
Koshiro Sakai
H
Hiroki Tanisawa
R
Rikuo Sakai
H
Hideaki Tanaka
M
Masashi Katagiri
S
Shiori Fuse
T
Tomonori Yamashita
Y
Yosuke Oishi
K
Kunihiro Ogura
R
Ryota Kosaki
H
Hiroaki Tsujita
S
Seita Kondo
T
Toshiro Shinke
DOI:10.1016/j.jacl.2026.06.007delete
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Abstract

Abstract

En 中文
• Elevated sd-LDL-C is independently associated with the presence of OCT-defined PR in the culprit lesion of patients with acute coronary syndrome. • Higher quartiles of sd-LDL-C are persistently associated with PR even after multivariable adjustment, independent of LDL-C levels. • The co-existence of high sd-LDL-C and high hs-CRP is associated with a higher frequency of PR in the culprit lesion, representing the additive impact of lipid quality and systemic inflammation on plaque morphology. • OCT-defined morphological features of plaque vulnerability, such as thin-cap fibroatheroma, are more prevalent in the culprit lesions of patients with elevated sd-LDL-C and hs-CRP.

Journal

Journal of Clinical Lipidology cover
Journal of Clinical Lipidology
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showa medical university
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showa medical university fujigaoka hospital
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