Evidence map›Paper›PMID 38227718›Full record

ReviewCirculation2024

Coronary Artery Calcification: Current Concepts and Clinical Implications.

Carlotta Onnis, Renu Virmani, Kenji Kawai, Valentina Nardi, Amir Lerman, Filippo Cademartiri, Roberta Scicolone, Alberto Boi, Terenzio Congiu, Gavino Faa and 2 more

Open access · greenAbstract readReview
In one paragraph

Review in Circulation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 3 pooled it
79.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 3 syntheses or guidelines pooled it, 195 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Coronary artery disease imaging with total-body PET.The British journal of radiology · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Sex-Related Differences in the Prevalence and Clinical Outcomes of Moderate-to-Severe Coronary Artery Calcification in Patients Undergoing Percutaneous Coronary Intervention.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Observational
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 2 countries.

Carlotta OnnisDepartment of Radiology, Azienda Ospedaliero Universitaria, Polo di Monserrato, Cagliari, Italy (C.O., R.S., L.S.).ORCID 0000-0003-4466-5381
Renu VirmaniDepartment of Cardiovascular Pathology, CVPath Institute, Gaithersburg, MD (R.V., K.K.).ORCID 0000-0003-1879-0015
Kenji KawaiDepartment of Cardiovascular Pathology, CVPath Institute, Gaithersburg, MD (R.V., K.K.).
Valentina NardiDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN (V.N., A.L.).ORCID 0000-0003-4601-0434
Amir LermanDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN (V.N., A.L.).ORCID 0000-0002-9446-5313
Filippo CademartiriDepartment of Radiology, Fondazion Monasterio/CNR, Pisa, Italy (F.C.).ORCID 0000-0002-0579-3279
Roberta ScicoloneDepartment of Radiology, Azienda Ospedaliero Universitaria, Polo di Monserrato, Cagliari, Italy (C.O., R.S., L.S.).ORCID 0009-0004-0324-7487
Alberto BoiDepartment of Cardiology, Azienda Ospedaliera Brotzu, Cagliari, Italy (A.B.).
Terenzio CongiuDepartment of Pathology, Azienda Ospedaliero Universitaria, Ospedale San Giovanni di Dio, Cagliari, Italy (T.C., G.F.).
Gavino FaaDepartment of Pathology, Azienda Ospedaliero Universitaria, Ospedale San Giovanni di Dio, Cagliari, Italy (T.C., G.F.).
Peter LibbyDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA (P.L.).
Luca SabaDepartment of Radiology, Azienda Ospedaliero Universitaria, Polo di Monserrato, Cagliari, Italy (C.O., R.S., L.S.).
Azienda Ospedaliero-Universitaria Cagliari · ITCVPath Institute · USMayo Clinic · USNuovo Ospedale San Giovanni di Dio · ITAzienda Ospedaliera G. Brotzu · ITBrigham and Women's Hospital · USFondazione Toscana Gabriele Monasterio · IT

Funding

Mechanisms and Modulation of Accelerated Atherosclerosis in Clonal HematopoiesisR01HL163099 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LIBBY, PETER · 2022 to 2025
$2.6M
Novel mechanisms of the thrombotic complications of atherosclerosisR01HL134892 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LIBBY, PETER · 2019 to 2022
$1.7M
NHLBI NIH HHS R01 HL134892NHLBI NIH HHS R01 HL163099
6 · The paper itself

Abstract

Coronary artery calcification (CAC) accompanies the development of advanced atherosclerosis. Its role in atherosclerosis holds great interest because the presence and burden of coronary calcification provide direct evidence of the presence and extent of coronary artery disease; furthermore, CAC predicts future events independently of concomitant conventional cardiovascular risk factors and to a greater extent than any other noninvasive biomarker of this disease. Nevertheless, the relationship between CAC and the susceptibility of a plaque to provoke a thrombotic event remains incompletely understood. This review summarizes the current understanding and literature on CAC. It outlines the pathophysiology of CAC and reviews laboratory, histopathological, and genetic studies, as well as imaging findings, to characterize different types of calcification and to elucidate their implications. Some patterns of calcification such as microcalcification portend increased risk of rupture and cardiovascular events and may improve prognosis assessment noninvasively. However, contemporary computed tomography cannot assess early microcalcification. Limited spatial resolution and blooming artifacts may hinder estimation of degree of coronary artery stenosis. Technical advances such as photon counting detectors and combination with nuclear approaches (eg, NaF imaging) promise to improve the performance of cardiac computed tomography. These innovations may speed achieving the ultimate goal of providing noninvasively specific and clinically actionable information.

Indexed as

AtherosclerosisCalcinosisCoronary Artery DiseaseVascular CalcificationCoronary AngiographyCoronary VesselsHumansRisk AssessmentRisk Factorsatherosclerosiscalcinosiscardiac imaging techniquescoronary angiographycoronary vesselsplaque, atheroscleroticvascular calcification

Identifiers

PMID38227718
PMCPMC10794033
OpenAlexW4390904449

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.