Chronic Coronary Syndromes in Women

Meyer, Matthias R.

doi:10.1016/j.mayocp.2020.09.023

Cited by 6 publications

(2 citation statements)

References 72 publications

(129 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A possible explanation would be the growing attention to sex differences in cardiovascular disease. 26 Women often present with other symptoms than men, with (typical) angina being less frequently reported, and these symptoms can also be caused by other conditions. 26 Therefore, it can be difficult to distinguish whether these symptoms originate from CAD.…”

Section: Discussionmentioning

confidence: 99%

“… 26 Women often present with other symptoms than men, with (typical) angina being less frequently reported, and these symptoms can also be caused by other conditions. 26 Therefore, it can be difficult to distinguish whether these symptoms originate from CAD. In such cases, a clinician may use the CAC score to increase or decrease the clinical likelihood of obstructive CAD.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Using Coronary Artery Calcium Score as Diagnostic Tool in Symptomatic Chronic Coronary Syndrome Patients in a Real-Life Setting

Witvliet,

Arkenbout,

Kamphuisen

2023

VHRM

View full text Add to dashboard Cite

Background:The coronary artery calcium (CAC) score can be used to increase (CAC score > 0) or decrease (CAC score = 0) the likelihood of coronary artery disease (CAD). We compared the CAC score with the pre-test probability (PTP) for CAD (low, intermediate, and high). Furthermore, we compared the CAC score with exercise electrocardiography (ECG) and compared both tests with coronary angiography. Methods and Results:We retrospectively identified patients with angina and/or dyspnea for whom CAC score was used to increase or decrease the likelihood of CAD. Of 882 patients, majority had low (45%) or intermediate (44%) PTP. Patients with higher PTP had significantly higher CAC scores (Cramer's V = 0.29, p < 0.0001). Most patients (57%) had a CAC score of zero, especially those with low (73%) and intermediate (49%) PTP. However, 20% of patients with high PTP had CAC score of zero. Higher CAC scores were observed in patients with abnormal exercise ECG, but association was weak and not significant (Cramer's V = 0.13, p = 0.08). Moreover, more than 40% of patients with an abnormal exercise ECG had CAC score of zero. Higher CAC scores were associated with more severe abnormalities on coronary angiography (Cramer's V = 0.43, p < 0.0001), whereas there was no association between results of exercise ECG and coronary angiography (Cramer's V = 0.11, p = 0.91). Conclusion: CAC score can be used in addition to PTP to increase or decrease the likelihood of CAD, and it might be more useful than exercise ECG in the diagnostic work-up of chest pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%