Evidence map›Paper›PMID 34531027›Full record

ReviewJournal of the American College of Cardiology2021

Optical Coherence Tomography of Plaque Vulnerability and Rupture: JACC Focus Seminar Part 1/3.

Aaron D Aguirre, Armin Arbab-Zadeh, Tsunenari Soeda, Valentin Fuster, Ik-Kyung Jang

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06681155 (A Prospective Cohort Study on the Identification of High-Risk Coronary Plaque by Multimodality Intravascular Imaging), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06681155 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

A Prospective Cohort Study on the Identification of High-Risk Coronary Plaque by Multimodality Intravascular Imaging(PlaqueVision Study)

TypeobservationalSponsorChinese PLA General HospitalRan2024 to 2031Enrolled500ConditionsCoronary Arterial Disease (CAD), Acute Coronary SyndromesArmsAssessment of plaque morphology, structure, and stability in non-culprit lesions
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Sex differences in coronary artery disease.Naunyn-Schmiedeberg's archives of pharmacology · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Optical Coherence Tomography in Acute Coronary Syndromes.Reviews in cardiovascular medicine · 2025
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 4 countries.

Aaron D AguirreCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA; Wellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA; Center for Systems Biology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Armin Arbab-ZadehDepartment of Cardiology, Johns Hopkins University, Baltimore, Maryland, USA.
Tsunenari SoedaDepartment of Cardiology, Nara Medical University, Nara, Japan.
Valentin FusterZena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA; Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain.
Ik-Kyung JangCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA; Kyung Hee University, Seoul, South Korea. Electronic address: ijang@mgh.harvard.edu.
Harvard University · USJohns Hopkins University · USNara Medical University · JPSpanish National Centre for Cardiovascular Research · ES

Funding

Dynamic Single Cell Imaging of Coronary Microvascular Dysfunction in the Failing HeartR01HL144515 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI AGUIRRE, AARON D · 2019 to 2023
$2.1M
All optical in vivo cardiac electrophysiology at cellular resolutionR21EB026762 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI AGUIRRE, AARON D · 2018 to 2020
$666k
NHLBI NIH HHS R01 HL144515NIBIB NIH HHS R21 EB026762
6 · The paper itself

Abstract

Plaque rupture is the most common cause of acute coronary syndromes and sudden cardiac death. Characteristics and pathobiology of vulnerable plaques prone to plaque rupture have been studied extensively over 2 decades in humans using optical coherence tomography (OCT), an intravascular imaging technique with micron scale resolution. OCT studies have identified key features of plaque vulnerability and described the in vivo characteristics and spatial distribution of thin cap fibroatheromas as major precursors to plaque rupture. In addition, OCT data supports the evolving understanding of coronary heart disease as a panvascular process associated with inflammation. In the setting of high atherosclerotic burden, plaque ruptures often occur at multiple sites in the coronary arteries, and plaque progression and healing are dynamic processes modulated by systemic risk factors. This review details major investigations with intravascular OCT into the biology and clinical implications of plaque vulnerability and plaque rupture.

Indexed as

Cardiac Imaging TechniquesTomography, Optical CoherenceHumansPlaque, AtheroscleroticRupture, Spontaneousacute coronary syndromeoptical coherence tomographyplaque ruptureplaque vulnerabilityvascular biology

Identifiers

PMID34531027
PMCPMC9851427
OpenAlexW3199783285

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.