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Cited by 3,725

The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.

The Pathogenesis of Coronary Artery Disease and the Acute Coronary Syndromes

Epstein, Franklin H., Fuster, Valentin, Badimon, Lina, Badimon, Juan J., Chesebro, James H.·1992·New England Journal of Medicine

Abstract

Atherosclerotic diseases and their thrombotic complications remain the leading causes of mortality and morbidity in Western society. In the United States, cardiovascular disease is responsible for one in every 2.4 (41.4%) deaths and is the leading single cause of mortality. Furthermore, the presence of atherosclerotic disease (defined as thickening of the arterial wall through the accumulation of lipids, macrophages, T-lymphocytes, smooth muscle cells, extracellular matrix, calcium and necrotic debris) is more prevalent, but by itself rarely fatal. The crucial, final common process for the conversion of a nonocclusive, often clinically silent atherosclerotic lesion to a potentially fatal condition is often plaque disruption. The mortality associated with atherosclerotic disease relates to the acute coronary syndromes, including acute myocardial infarction, unstable angina pectoris and sudden cardiac death. Substantial clinical, experimental and postmortem evidence demonstrates the central role that a superimposed acute thrombosis on a disrupted atherosclerotic plaque plays in the onset of acute coronary syndromes. Therefore, therapeutic approaches to date have focused on reducing such thrombotic complications of atherosclerotic plaques (i.e., antiplatelet, anticoagulant and thrombolytic therapies) to reduce the resulting morbidity and mortality. In this review, we will focus on the current theories of atherogenesis and how they impact on our understanding of acute coronary syndromes.

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Metadata

Authors
Epstein, F. H., Fuster, V., Badimon, L., Badimon, J. J., & Chesebro, J. H.
Venue
New England Journal of Medicine
Published
1992-01-30
Volume
326
Issue
5
Pages
310-318
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W1512144932
Cited by
3,725
References
12
FWCI
59.95
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Pathogenesis of Coronary Artery Disease and the Acute Coronary Syndromes. https://app.cochat.ai/papers/10.1056/nejm199201303260506
The paper
Epstein, F. H., Fuster, V., Badimon, L., Badimon, J. J., & Chesebro, J. H. (1992). The Pathogenesis of Coronary Artery Disease and the Acute Coronary Syndromes. New England Journal of Medicine. https://doi.org/10.1056/nejm199201303260506

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.