Unfortunately, your doctor has no way of telling if a plaque in the body is going to "fissure", although many studies are in progress to define ways for the doctor to tell which patients will get into trouble soon. In the meantime, physicians must continue to do the job with the imperfect tools that they have, including the history and physical examination, electrocardiogram, stress tests (with or without imaging), echocardiograms, and less frequently, the CT scanner and MRI.

