Prognostic value of coronary computed tomography angiography in patients with prior percutaneous coronary intervention

Autor: Alomgir Hossain, Andrew M. Crean, Gary W. Small, Benjamin J.W. Chow, Yeung Yam, Helen Bishop, Riley Jones
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Time Factors
Computed Tomography Angiography
medicine.medical_treatment
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary Angiography
Risk Assessment
Severity of Illness Index
030218 nuclear medicine & medical imaging
Coronary artery disease
03 medical and health sciences
0302 clinical medicine
Percutaneous Coronary Intervention
Predictive Value of Tests
Risk Factors
Internal medicine
Multidetector Computed Tomography
medicine
Humans
Radiology
Nuclear Medicine and imaging
cardiovascular diseases
Myocardial infarction
Prospective Studies
Computed tomography angiography
Aged
Aged
80 and over
medicine.diagnostic_test
business.industry
Proportional hazards model
Stent
Percutaneous coronary intervention
Middle Aged
medicine.disease
Treatment Outcome
Conventional PCI
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Mace
Zdroj: Journal of cardiovascular computed tomography. 15(3)
ISSN: 1876-861X
Popis: Objective We sought to determine the prognostic value of coronary computed tomography angiography (CCTA) in patients with a history of percutaneous coronary intervention (PCI). Background Although the prognostic value of CCTA has been well studied, its incremental value in patients with previous PCI has not been robustly investigated. Methods Consecutive patients with previous PCI were prospectively enrolled and CCTA images were evaluated for coronary artery disease (CAD) severity. Patients were followed for major adverse cardiovascular events (MACE) which was a composite of cardiac death and non-fatal myocardial infarction. All-cause death was assessed as a secondary endpoint. Results A total of 501 patients were analyzed with a mean follow-up time of 59.5 ± 32.0 months and 52 patients (10.4%) experienced MACE. Multivariable Cox regression analysis showed that CAD severity was a predictor of MACE with 0, 1, 2, and 3 vessel disease having annual rates of 1.3%, 2.2%, 2.2%, and 5.3%, respectively. All-cause death was similar in all categories of CAD. Conclusions In patients with previous PCI, CAD severity as measured with CCTA has independent and incremental prognostic value.
Databáze: OpenAIRE
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