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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 eventswarrants 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 patientsfollowed 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-freeCAD, 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

Albakri A, Recke GFd, Omran H. 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

Albakri A, Recke GFd, Omran H. 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: September 14, 2020].


AMA (American Medical Association) Style

Albakri A, Recke GFd, Omran H. 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

Albakri A, Recke GFd, Omran H. 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 September 14, 2020]; 7(1): 01-04.



Harvard Style

Albakri, A., Recke, . G. F. d. & Omran, . H. (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

Albakri, Aref, Giso Frhr.von der Recke, and 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

Albakri, Aref, Giso Frhr.von der Recke, and 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

Albakri, Aref, Giso Frhr.von der Recke, and 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

Albakri, A., Recke, . G. F. d. & Omran, . H. (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.





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