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Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran.

Abstract
Background: Current evidence supporting the predictive value of coronary artery calcium
scores (CACs) and coronary computed tomography angiography (CCTA) for adverse cardiac
events in low-risk CAD patients is based on short follow-up periods. However, a long latency
between the onset of coronary artery disease (CAD) and the occurrence of adverse events
warrants longer follow-up periods. Methods: We reported our experience on the predictive
power of CACs and CCTA for cardiac deaths and hospitalization in low risk chest pain patients
followed for five years. In total, we enrolled 346 patients (mean age=62.07: male=53%)
presenting with chest pain, no prior CAD on CCTA and negative to low CACs. The primary
endpoint was cardiac death and hospitalization for cardiac causes. Results: During followup,
six patients died due to non-cardiac causes (old age, cancer or stroke) and excluded
from analysis (person-time follow-up rate=99.13%). In the remaining 340, none achieved the
primary endpoint. There were no reported cases of cardiac deaths or hospitalization for cardiac
causes (event rate = 0%). All patients were free of coronary artery problems. Conclusion: In
low-risk chest patients, CACs and CCTA is an excellent predictor for up to five year event-free
CAD, cardiac death and hospitalization for cardiac causes.

Key words: Coronary Computed Tomography Angiography (CCTA), Coronary artery calcium scores (CACs), coronary artery disease (CAD)


 
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Pubmed Style

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran. Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients. EJMCM. 2020; 7(1): 01-04.


Web Style

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran. Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients. http://www.ejmcm.com/?mno=116018 [Access: June 18, 2020].


AMA (American Medical Association) Style

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran. Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients. EJMCM. 2020; 7(1): 01-04.



Vancouver/ICMJE Style

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran. Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients. EJMCM. (2020), [cited June 18, 2020]; 7(1): 01-04.



Harvard Style

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran (2020) Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients. EJMCM, 7 (1), 01-04.



Turabian Style

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran. 2020. Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients. European Journal of Molecular & Clinical Medicine, 7 (1), 01-04.



Chicago Style

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran. "Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients." European Journal of Molecular & Clinical Medicine 7 (2020), 01-04.



MLA (The Modern Language Association) Style

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran. "Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients." European Journal of Molecular & Clinical Medicine 7.1 (2020), 01-04. Print.



APA (American Psychological Association) Style

Aref Albakri, Giso Frhr.von der Recke, Heyder Omran (2020) Predictive Value of Coronary CT Angiography and Calcium Scoring for Coronary Artery Problems and Adverse Cardiac Events in Low-risk Chest Pain Patients. European Journal of Molecular & Clinical Medicine, 7 (1), 01-04.