A zero coronary artery calcium score in patients with stable chest pain is associated with a good prognosis, despite risk of non-calcified plaques

Autor: Wang, Xue, Le, Elizabeth, Rajani, N, Hudson-Peacock, N, Pavey, Holly, Tarkin, J, Babar, J, Williams, Michelle, Gopalan, D, Rudd, JHF
Přispěvatelé: Le, Elizabeth [0000-0002-3065-1627], Tarkin, Jason [0000-0002-9132-120X], Rudd, James [0000-0003-2243-3117], Apollo - University of Cambridge Repository
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Open Heart
Wang, X, LE, EPV, Rajani, NK, Hudson-Peacock, NJ, Pavey, H, Tarkin, JM, Babar, J, Williams, M, Gopalan, D & Rudd, JHF 2019, ' A zero coronary artery calcium score in patients with stable chest pain is associated with a good prognosis despite risk of non-calcified plaques ', Open heart . https://doi.org/10.1136/openhrt-2018-000945
ISSN: 2053-3624
DOI: 10.1136/openhrt-2018-000945
Popis: OBJECTIVES: To estimate the prevalence of non-calcified coronary artery disease (CAD) in patients with suspected stable angina and a zero coronary artery calcium (CAC) score, and to assess the prognostic significance of a zero CAC in these symptomatic patients. METHODS: In this prospective cohort study, consecutive patients with stable chest pain underwent CAC scoring +/- CT coronary angiography (CTCA) as part of routine clinical care at a single tertiary centre over 7 years. MACE was defined as cardiac death, non-fatal myocardial infarction and/or non-elective revascularisation. RESULTS: A total of 915 of 1753 (52.2%) patients (mean age 56.8 ± 12.0 years; 46.2% male) had a zero CAC score. Of the 751 (82.1%) patients with a zero CAC in whom CTCA was performed, 674 (89.7%) had normal coronary arteries, 63 (8.4%) had non-calcified coronary artery disease (CAD) with
Databáze: OpenAIRE