Atherosclerotic expansive remodeled plaques: a wolf in sheep's clothing.
Geometric arterial remodeling is an important determinant of luminal narrowing in atherosclerotic disease. Expansive remodeling retards while constrictive remodeling accelerates luminal narrowing by plaque formation. Cross-sectional as well as follow-up studies revealed that expansive remodeling is associated with adverse cardiovascular events and a vulnerable plaque phenotype. Although the relation between expansive remodeling and plaque vulnerability is associative rather than causal, expansively remodeled plaques should be considered as a wolf in sheep's clothes. Further understanding of the processes that regulate arterial remodeling and plaque rupture may lead to new strategies to responsibly manipulate these processes for the benefit of patient outcomes.
Pasterkamp
Gerard
G
Laboratory of Experimental Cardiology, University Medical Center, Heidelberglaan 100, Room G02.523, NL-3584 CX Utrecht, The Netherlands. g.pasterkamp@hli.azu.nl
Fitzgerald
Peter F
PF
de Kleijn
Dominique P V
DP
D003324:Coronary Artery Disease / Q000473:pathology* / Q000503:physiopathology*; D003326:Coronary Circulation; D006801:Humans; D020257:Ventricular Remodeling / Q000502:physiology*