Coronary dominance and prognosis in patients undergoing coronary computed tomographic angiography: results from the CONFIRM (COronary CT Angiography EvaluatioN For Clinical Outcomes: An InteRnational Multicenter) registry

European Heart Journal Cardiovascular Imaging
Catherine GebhardPhilipp Kaufmann

Abstract

Coronary computed tomographic angiography (CCTA) has become an important tool for non-invasive diagnosis of coronary artery disease (CAD). Coronary dominance can be assessed by CCTA; however, the predictive value of coronary dominance is controversially discussed. The aim of this study was to evaluate the prevalence and prognosis of coronary dominance in a large prospective, international multicentre cohort of patients undergoing CCTA. The study population consisted of 6382 patients with or without CAD (47% females, 53% males, mean age 56.9 ± 12.3 years) who underwent CCTA and were followed over a period of 60 months. Right or left coronary dominance was determined. Right dominance was present in 91% (n = 5817) and left in 9% (n = 565) of the study population. At the end of follow-up, outcome in patients with obstructive CAD (>50% luminal stenosis) and right dominance was similar compared with patients with left dominance [hazard ratio (HR) 0.46, 95% CI 0.16-1.32, P = 0.15]. Furthermore, no differences were observed for the type of coronary dominance in patients with non-obstructive CAD (HR 0.95, 95% CI 0.41-2.21, P = 0.8962) or normal coronary arteries (HR 1.04, 95% CI 0.68-1.59, P = 0.9). Subgroup analysis in patients with le...Continue Reading

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Citations

Dec 30, 2015·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Christoph GräniPhilipp A Kaufmann
Mar 30, 2016·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Tomoaki Nakata
Feb 13, 2016·Heart·Wilke M C KoenraadtMonique R M Jongbloed
Aug 11, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Cathérine GebhardAurel Toma
Apr 13, 2017·World Journal of Cardiology·Ali Osama MalikJimmy Diep
Oct 29, 2018·Heart·Wilke M C KoenraadtMonique R M Jongbloed
Nov 23, 2018·Korean journal of pediatrics·Yoon Jin LeeHong Ryang Kil
Oct 24, 2017·Veterinary Sciences·Brian A Scansen
Mar 10, 2019·The International Journal of Cardiovascular Imaging·D SeppeltI Platzek
Oct 13, 2020·The International Journal of Cardiovascular Imaging·Hyun Woo Goo
Oct 13, 2020·Journal of Cardiovascular Computed Tomography·Abdul Rahman IhdayhidBrian S Ko
Jun 26, 2021·Clinical Imaging·Lea AzourAdam Jacobi
Jul 15, 2021·The American Journal of the Medical Sciences·Nanruoyi Zhou, Gentian Lluri

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

CONFIRM
SPSS
SAS

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