Editorials |
From the Bristol Heart Institute, University of Bristol, UK.
Correspondence to Christopher L. Jackson, Level 7, Bristol Royal Infirmary, Bristol BS2 8HW, United Kingdom. E-mail chris.jackson@bristol.ac.uk
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
There is a strange discrepancy in the world of vascular biology. It is clear from many investigations that the rupture of an atherosclerotic plaque is the most common triggering event for occlusive thrombus formation in a coronary artery, leading to myocardial infarction. However, many large vascular biology meetings do not include specific sessions on this topic. Indeed, even flagship journals such as Arteriosclerosis, Thrombosis, and Vascular Biology do not list "plaque rupture" among the standard keywords to be used during manuscript submission. Why does an issue of such clinical importance have such a low profile?
See page 1304
The probable cause is the difficulty inherent in studying the phenomenon of plaque rupture, so that there are actually relatively few manuscripts and communications that address it directly (a quick interrogation of the PubMed database suggests that only about 1.5% of research articles published during the last 5 years in the atherosclerosis/coronary heart disease field deal specifically with plaque rupture). Although ruptured plaques can be identified and excised at post mortem, determining how recently the rupture has occurred is an imprecise matter. Intact plaques to be used as comparators may be in danger of impending rupturebut their proximity to the clinical horizon may again be difficult to assess accurately.
The usual recourse in such circumstances is to an animal model, but experimental models of plaque rupture have come into our hands only recently. Following the pioneering work of Dr Rosenfelds group in Seattle, first published in 2000,1 his group, ours, and others
Related Article:
Arterioscler Thromb Vasc Biol 2006 26: 1304-1309.
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