EuroPCR2026-images-101311-Acute-coronary-syndrome-young

What is the diagnosis?
Intramural hematoma
Layered plaque
Intraplaque haemorrhage
Correct! The correct answer is "Intraplaque haemorrhage".
 
A lipid-rich plaque with a central, crescent-shaped, low-signal, heterogeneous area suggestive of IPH. The leaky plaque neovascularization, has been described as a mechanism for rapid plaque growth and instability leading to acute coronary syndrome. This could be associated with either plaque rupture or erosion.

 
Good try! The correct answer is "Intraplaque haemorrhage".
 
A lipid-rich plaque with a central, crescent-shaped, low-signal, heterogeneous area suggestive of IPH. The leaky plaque neovascularization, has been described as a mechanism for rapid plaque growth and instability leading to acute coronary syndrome. This could be associated with either plaque rupture or erosion.
 
 
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