Impact of Metabolic Syndrome on Tissue Characteristics of Angiographically Mild to Moderate Coronary LesionsIntegrated Backscatter Intravascular Ultrasound Study
Tetsuya Amano, MD, PhD*,*,
Tatsuaki Matsubara, MD, PhD ,
Tadayuki Uetani, MD, PhD*,
Michio Nanki, MD, PhD*,
Nobuyuki Marui, MD, PhD*,
Masataka Kato, MD*,
Kosuke Arai, MD*,
Kiminobu Yokoi, MD*,
Hirohiko Ando, MD*,
Hideki Ishii, MD ,
Hideo Izawa, MD, PhD and
Toyoaki Murohara, MD, PhD
* Department of Cardiology, Chubu-Rosai Hospital, Nagoya, Japan
Department of Internal Medicine, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan
Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

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Figure 1 Representative Images of Conventional Intravascular Ultrasound and 2-Dimensional Integrated Backscatter Intravascular Ultrasound Color-Coded Maps of Coronary Artery Plaques in Patients With or Without MetS
(A) Patients with (+) metabolic syndrome (MetS); (B) patients without () MetS. The percentage of lipid area and the percentage of fibrous area were 46.1% and 50.1% in panel A, and 12.1% and 80.9% in panel B, respectively. Blue = lipid pool; green yellow = fibrous lesion; red = high signal lesion.
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Figure 2 Representative Images of the 3-Dimensional Integrated Backscatter Intravascular Ultrasound in Patients With or Without MetS
(A) Patients with (+) metabolic syndrome (MetS); (B) patients without () MetS. The percentage of lipid volume was 52.7% in panel A and 23.0% in panel B. Blue and light blue = lipid pool; green and yellow = fibrous lesion; red = high signal lesion.
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Figure 3 The Lipid-Rich Plaque Rate According to Increasing Numbers of MetS Components
The lipid-rich plaque rate was significantly associated with an increasing number of metabolic syndrome (MetS) components in the grouping. p = 0.002 by analysis of variance (ANOVA).
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