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The shadows leave a doubt--the angiographic recognition of vulnerable coronary artery plaques.

Coronary angiography provides detailed, dynamic images of the coronary arterial lumens. These images provide an explanation for angina and a roadmap to direct surgical or catheter-based revascularization. Although a patient’s prognosis is influenced by left ventricular systolic performance and the number of stenosed coronary vessels, analysis of stenosis severity alone does not accurately identify sites that will subsequently occlude and produce a myocardial infarction (MI) (1). Because the consequences of MI are so