ArticleJournal of geriatric cardiology : JGC2014
Prognostic value of coronary artery calcium score in patients with stable angina pectoris after percutaneous coronary intervention.
Article in Journal of geriatric cardiology : JGC, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Serial longitudinal changes of coronary calcified plaques with clear outer borders under intensive lipid management: insights from optical coherence tomography.Heart and vessels · 2024Article
- Calcium evaluation using coronary computed tomography in combination with optical coherence tomography.The international journal of cardiovascular imaging · 2023Article
- Defining Key Features of Complex Coronary Lesions: An Evidence Based Review of Clinical Practice. Part I: Bifurcations, Left Main Disease, and Calcifications.Reviews in cardiovascular medicine · 2022Review
- Association between serum cartilage oligomeric matrix protein and coronary artery calcification in maintenance hemodialysis patients.Journal of geriatric cardiology : JGC · 2020Article
- Higher coronary artery calcification score is associated with adverse prognosis in patients with stable angina pectoris.Journal of thoracic disease · 2017Article
- Altered serum level of cartilage oligomeric matrix protein and its association with coronary calcification in patients with coronary heart disease.Journal of geriatric cardiology : JGC · 2017Article
- Association between plasma ADAMTS-7 levels and severity of disease in patients with stable obstructive coronary artery disease.Medicine · 2016Article
- Cerebral arterial calcification is an imaging prognostic marker for revascularization treatment of acute middle cerebral arterial occlusion.Journal of stroke · 2015Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the prognostic value of the coronary artery calcium (CAC) score in patients with stable angina pectoris (SAP) who underwent percutaneous coronary intervention (PCI).
methodsA total of 334 consecutive patients with SAP who underwent first PCI following multi-slice computer tomography (MSCT) were enrolled from our institution between January 2007 and June 2012. The CAC score was calculated according to the standard Agatston calcium scoring algorithm. Complex PCI was defined as use of high pressure balloon, kissing balloon and/or rotablator. Procedure-related complications included dissection, occlusion, perforation, no/slow flow and emergency coronary artery bypass grafting. Main adverse cardiac events (MACE) were defined as a combined end point of death, non-fatal myocardial infarction, target lesion revascularization and rehospitalization for cardiac ischemic events.
resultsPatients with a CAC score > 300 (n = 145) had significantly higher PCI complexity (13.1% vs. 5.8%, P = 0.017) and rate of procedure-related complications (17.2% vs. 7.4%, P = 0.005) than patients with a CAC score ≤ 300 (n = 189). After a median follow-up of 22.5 months (4-72 months), patients with a CAC score ≤ 300 differ greatly than those patients with CAC score > 300 in cumulative non-events survival rates (88.9 vs. 79.0%, Log rank 4.577, P = 0.032). After adjusted for other factors, the risk of MACE was significantly higher [hazard ratio (HR): 4.3, 95% confidence interval (95% CI): 2.4-8.2, P = 0.038] in patients with a CAC score > 300 compared to patients with a lower CAC score.
conclusionsThe CAC score is an independent predictor for MACE in SAP patients who underwent PCI and indicates complexity of PCI and procedure-related complications.
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