heart doctors in hebbal bangalore. plaque rupture Plaque rupture may be at least partly an inflammatory process involving inflammatory cells, cytokines and even bacteria. This may explain the association between inflammatory markers such as high-sensitivity C reactive protein (hsCRP) and a risk of acute coronary events. Although this association seems well established, there is still uncertainty about its role in overall risk assessment Plaques at risk of rupture are called vulnerable plaques. They typically have a thin fibrous cap. The shoulder regions of these caps are at risk of rupturing and allowing material from within the plaque to come in contact with the blood stream. This material is intensely thrombogenic. Stable fibrous plaques are much less likely to rupture in this way. Efforts are underway to develop tests that can identify vulnerable plaques. This is not yet possible, but multi-slice CT scanning and possibly MRI angiography may increasingly