Role of CT Coronary Calcium Scanning and Angiography in Evaluation of Cardiovascular Risk

Onuegbu, Afiachukwu; Nasir, Khurram; Budoff, Matthew J.

doi:10.1007/978-3-030-56279-3_18

Cited by 1 publication

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References 76 publications

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“…A coronary calcium score provides important information about the detection, extent, and prognosis of CAD. 25,26 It also demonstrates a strong effect on predicting cardiac events, independent of traditional risk factors. 27,28 In our study, the Agatston score was found to be significantly lower in females than males for all age groups.…”

Section: Discussionmentioning

confidence: 98%

Gender-Dependent Comparison of Coronary Computed Tomography Angiographic Characteristics among Patients with Suspected Atherosclerosis: A Single-Center Experience

Erdoğan¹

2023

Arch Turk Soc Cardiol

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Objective: In this study, we aimed to examine gender-based differences in coronary artery disease (CAD) risk factors, the presence and severity of atherosclerosis, and the distribution of plaque type in patients presenting with chest pain. Methods: A total of 1496 patients who applied to our cardiology outpatient clinic with chest pain and underwent computed coronary tomographic angiography (CTA) between August 2020 and October 2021 were included in the study. Plaque characteristics, Agatston score, and Coronary Artery Disease-Reporting and Data System (CAD-RADS) score obtained from the patients' CTAs were compared by gender. Results: Of the 1496 patients evaluated, 47.9% were female. Coronary atherosclerosis was detected in 35.4% of females and 52.9% of males (P <0.001). Diabetes mellitus [155 (21.8%)vs. 123 (15.7%); P <0.001] and hypertension [271 (38.1%) vs. 249 (32%); P <0.001] rates were higher in females than in males. Plaque burden and high-risk plaque rate were found to be higher in males (P <0.001). Next, the rate of moderate-to-high coronary artery stenosis (CAD-RADS ≥3) was observed at 21.6% in men and 12.2% in women (P <0.001). Agatston score was found to be higher in males than in females for all age groups (P <0.001). The severity of CAD increased sharply with age in females (P interaction = 0.003). Conclusion:Although female patients demonstrated higher rates of traditional risk factors, the male gender was associated with increased coronary plaque burden, high-risk plaque, CAD-RADS, and Agatston scores. Therefore, patient-based approaches that consider gender-related differences could provide effective treatment and follow-up.

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Section: Discussionmentioning

confidence: 98%

Gender-Dependent Comparison of Coronary Computed Tomography Angiographic Characteristics among Patients with Suspected Atherosclerosis: A Single-Center Experience

Erdoğan¹

2023

Arch Turk Soc Cardiol

View full text Add to dashboard Cite

show abstract

Role of CT Coronary Calcium Scanning and Angiography in Evaluation of Cardiovascular Risk

Cited by 1 publication

References 76 publications

Gender-Dependent Comparison of Coronary Computed Tomography Angiographic Characteristics among Patients with Suspected Atherosclerosis: A Single-Center Experience

Gender-Dependent Comparison of Coronary Computed Tomography Angiographic Characteristics among Patients with Suspected Atherosclerosis: A Single-Center Experience

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