# Rapid Progression of a CT-Defined Vulnerable Coronary Plaque: A Multimodality Imaging Case Report

## TL;DR

This case report shows how a dangerous coronary plaque quickly worsened using CT and angiography.

## Contribution

The study demonstrates rapid plaque progression using multimodal imaging in a single patient.

## Key findings

- Intraplaque neovascularization and hemorrhage were observed in a rapidly progressive plaque.
- Multimodal imaging confirmed the vulnerability and progression of the coronary plaque.
- Serial imaging techniques effectively tracked plaque changes over time.

## Abstract

Rapid progression of vulnerable plaques due to intraplaque neovascularization and hemorrhage is deemed as an important process preceding plaque rupture leading to myocardial infarction. We present a patient with a rapidly progressive vulnerable plaque assessed by means of coronary computed tomography angiography and serial invasive coronary angiography.