More Coronary Plaques, Fewer-Coronary Deaths
Majid Ali, M.D.
More arterial plaques are
associated with fewer deaths from heart attacks and
strokes. No, you did not misread the sentence. I
write precisely what I mean: people with less
intense plaque formation have higher mortality from
cardiovascular diseases. I anticipate harsh frowns
from doctors on the title of this tutorial. The idea
that plaques in arteries cause heart attacks and
strokes is deeply etched in doctorsí belief systems,
and through them in the consciousness of the general
public. The very notion that more plaques are
associated with fewer heart attacks and strokes is
likely to be considered preposterous.
List of Related Tutorials
Tutorial He1. Seeing the
Anatomy of the Heart
Physiology of the Heart
Coronary Heart Disease?
Tutorial He5 Blood Clots and Unclots At All Times
Coronary Plaques, Fewer Coronary Deaths
More-Plaques-Fewer-Deaths Paradox, Part B
Tutorial He7 The More-Plaques-Fewer-Deaths
Paradox Part II
Tutorial He8 The More-Plaques-Fewer-Deaths
Paradox Part III
Tutorial He9 The More-Plaques-Fewer-Deaths
Paradox Part IV
Tutorial He10 The More-Plaques-Fewer-Deaths
Paradox Part V
Ali M. Fischer S, Juco J, et
al. The dysox model of
coronay artery disease.
Townsend Letter for Doctors
1. Morris JN. Recent history of
coronary disease. Lancet 1951;1:1-7, 69.
2. Enriquez-Sarano M, Klodas E,
Garratt KN, et al. Secular trends in coronary
atherosclerosis -- analysis in patients with
valvular regurgitation. N Engl J Med
3. Glagov S, Weisenberg E, Zarins CK, et al.
Compensatory enlargement of human atherosclerotic
coronary arteries. N Engl J Med 1987;316:1371-1375.