Prevalence and Prognostic Implication of Non-Calcified Plaque in Asymptomatic Population with Coronary Artery Calcium Score of Zero
Korean Circulation Journal
;
: 154-160, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-34371
ABSTRACT
BACKGROUND AND OBJECTIVES:
Non-calcified plaque (NCP) identified by coronary CT angiography (CCTA) has been reported in up to 10% of individuals with coronary artery calcium score (CACS) of zero. However, clinical risk factors and the prognostic value of NCP in asymptomatic subjects with CACS of zero are unknown. SUBJECTS ANDMETHODS:
The study population consisted of consecutive asymptomatic subjects (48+/-8 years, 57% men) who underwent CCTA from December 2005 to January 2008 as part of a general health evaluation.RESULTS:
Among 4491 of overall asymptomatic individuals with CACS of zero, 313 subjects (7%) had NCP 279 patients (6%) with non-obstructive and 34 (1%) with obstructive. In multivariable analyses, age, male gender, diabetes, hypertension, and dyslipidemia were significantly associated with presence of NCP (all p<0.05). During the median follow-up duration of 22 months (interquartile percentile 18 to 28 months) of subjects with NCP (n=313) and age, gender, and CCTA date matched individuals without NCP (n=313), there was no clinical event including all-cause death nor composite outcome of cardiac death, myocardial infarct, unstable angina requiring hospitalization, and revascularization after 90 days from index CCTA in both groups.CONCLUSION:
In the largest series of asymptomatic individuals with CACS of zero undergoing CCTA, age, male gender, diabetes, hypertension, and dyslipidemia were independently associated with NCP. However, a future risk of exclusive NCP in asymptomatic subjects with CACS of zero was negligible.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Angiografia
/
Cálcio
/
Prevalência
/
Fatores de Risco
/
Seguimentos
/
Vasos Coronários
/
Morte
/
Dislipidemias
/
Placa Aterosclerótica
/
Hospitalização
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Circulation Journal
Ano de publicação:
2013
Tipo de documento:
Artigo
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