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Editorial
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Volume 338:1538-1541 May 21, 1998 Number 21
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Platelet Glycoprotein IIb/IIIa Receptor Blockade in Unstable Coronary Disease

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Coronary atherosclerosis develops over decades and then may suddenly lead to an acute coronary event. Often this occurs in an artery with a minor stenosis. The culprit lesion usually has a large lipid core containing tissue factor, and it is covered by a thin fibrous cap with a thinned collagen matrix infiltrated by macrophages. The acute event is due usually to disruption of plaque and less often to erosion.

The risk factors leading to atherosclerosis also contribute to plaque disruption and the formation of thrombus. Flowing blood contacts tissue substrates deep in the arterial wall — a process that initiates . . . [Full Text of this Article]

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