Assessment of major adverse cardiovascular events and ischemic stroke with coronary computed tomography angiography based upon angiographic diagnosis in a high-volume single center

SAGE Open Medicine
Charles K LinAhmad M Slim

Abstract

Patient prognosis has been shown to directly correlate with the severity of coronary artery disease diagnosed by coronary computed tomography angiography (CCTA). Although the presence of coronary artery calcium has been associated with increased incidence of ischemic stroke, there are no data on the incidence of ischemic stroke based upon the severity of coronary artery disease by CCTA. Therefore, we sought to investigate the rate of major adverse cardiovascular events, including ischemic stroke, based upon the severity of coronary artery disease by CCTA over a 6-year period in a high-volume single military center. We performed a retrospective chart review of all CCTA studies to evaluate the incidence of all-cause mortality, non-fatal myocardial infarction, ischemic stroke, and late revascularization (>90 days following CCTA) from January 2005 until July 2012. We reviewed 1518 CCTA reports, dividing patients into groups with obstructive (≥50% stenosis), non-obstructive (<50% stenosis), and no coronary artery disease (no angiographic disease). Subsequent major adverse cardiovascular events data (incidence of all-cause mortality, ischemic stroke, non-fatal myocardial infarction, and late revascularization) were obtained. Over a r...Continue Reading

References

Feb 2, 2002·Stroke; a Journal of Cerebral Circulation·Rozemarijn VliegenthartJacqueline C M Witteman
Jun 2, 2006·Journal of the American Society of Nephrology : JASN·Marcello TonelliAmit X Garg
Aug 12, 2008·The American Journal of Medicine·Paul D SteinH Dirk Sostman
Mar 11, 2009·Journal of Cardiovascular Computed Tomography·Gilbert L RaffUNKNOWN Society of Cardiovascular Computed Tomography
Dec 15, 2010·Journal of the American College of Cardiology·Edward A HultenTodd C Villines
May 6, 2011·International Journal of Cardiology·Jesper K JensenQuynh A Truong

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BETA
coronary artery bypass
dissection

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SPSS

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