Positive remodelling of coronary arteries on computed tomography coronary angiogram: an observational study

Autor: May Khei Hu, Mengshi Yuan, Sunil James, Hui Ping Lee, Fairoz Abdul, Abdel Yousif, Ahmed Hassan, Jawad Khan, Derek Connolly, Vinoda Sharma
Rok vydání: 2022
Předmět:
Zdroj: AsiaIntervention
ISSN: 2426-3958
Popis: BACKGROUND: Coronary artery disease (CAD) due to atherosclerosis is projected to be the leading cause of morbidity and mortality worldwide until 2040. CAD affects approximately 2.6 million people in the United Kingdom (UK), and 1 in 4 of them do not experience any symptoms. AIMS: The aim of this study was to assess the characteristics and outcomes of patients with plaque features of positive remodelling (PR) on their computed tomography coronary angiogram (CTCA) images. METHODS: Patients who were referred for CTCA from June 2018 to January 2020 were retrospectively identified. Patients underwent prospective, gated 128-slice dual-source CTCA. Patients with PR were compared to those without PR for demographics and outcomes. RESULTS: A total of 861 patients were included in our study; 241 (28%) had PR, and 620 (72%) had no PR. Patients with PR were older (PR: 63.9±11.0 years vs no PR: 62.1±11.2 years; p=0.04), more likely to be male (PR: 65.6% vs no PR: 55.8%; p=0.01) and underwent coronary angiography more frequently (PR: 25.7% vs no PR: 14.4%; p
Databáze: OpenAIRE