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The volume and fraction of low-attenuation plaque (Thymidine kinase elevation was observed in 36 of 107 patients (33.6%). Positive remodeling (remodeling index >1.05) and spotty calcification were found to be statistically significant independent predictors of cardiac troponin T elevation ��3�� the upper limit of normal (0.010 ng/ml) 24 h click here after the procedure, whereas the presence of the 2 plus the finding of a computed tomography attenuation value selleck compound prior findings (12?and?14) and suggest that target-lesion plaque composition might have a powerful impact on myocardial injury after PCI and that plaque evaluation on MDCT might play an important role in planning coronary interventions. It is interesting to note the high frequency of positive remodeling and spotty calcification in the plaques prone to embolization in these stable angina patients, given that these same features are often associated with so-called vulnerable plaques on VH-IVUS (18). Furthermore, the small patient cohort is a notable limitation, as is the lack of concurrent VH-IVUS imaging of culprit lesions for comparison, at present the only imaging technique validated to identify patients and lesions at risk for future major adverse cardiac events.