Evidence map›Paper›PMID 39420287›Full record

ArticleBMC cardiovascular disorders2024

The value of coronary calcium score in predicting clinical outcomes in patients with chronic coronary syndrome.

Basma Elnagar, Marwa Habib, Rehab Elnagar, Mohamed Khalfallah

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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

4 authors.

Basma ElnagarCardiovascular Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt. drbasmaelnagar12@gmail.com.
Marwa HabibCardiovascular Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Rehab ElnagarRadiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Mohamed KhalfallahCardiovascular Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery atherosclerosis and calcification are the precursors to the development of coronary artery disease and its complications. Coronary artery calcium scoring (CACS) is useful as a risk-stratification tool in coronary artery disease.

objectiveThe current study was designed to identify the relationship between CACS and major adverse cardiovascular outcomes in patients with stable coronary artery disease.

methodsThe study was conducted on 435 patients with stable ischemic heart disease. The patients were classified into two groups according to their coronary artery calcium score (CACS): group I (n = 220 patients), whose calcium score was mild to moderate (< 400), and group II (n = 215 patients), whose calcium score was high (≥ 400). All patients were closely monitored for two years to assess major adverse cardiovascular events (MACE).

resultsAfter 2 years of follow-up, MACE drastically increased in Group II in the form of unstable angina, myocardial infarction, demand for percutaneous coronary intervention, and heart failure. Multivariate regression analysis showed that age ≥ 55 years, Framingham risk score > 10, CACS ≥ 400, body mass index ≥ 30 kg/m2, and the proximal lesions of the vessels were the independent risk factors for major cardiac events.

conclusionThe coronary calcium score is a distinct feature of coronary atherosclerosis, and a score of 400 or higher is a reliable, noninvasive predictor of the progression of coronary artery diseases and their consequences, including MACE.

Indexed as

Coronary AngiographyCoronary Artery DiseasePredictive Value of TestsVascular CalcificationAgedChronic DiseaseComputed Tomography AngiographyFemaleHumansMaleMiddle AgedPrognosisRisk AssessmentRisk FactorsSeverity of Illness IndexTime FactorsClinical outcomesCoronary angiographyCoronary artery calcium scoreMulti-slice computed tomographyStable coronary artery disease

Identifiers

PMID39420287
PMCPMC11484115

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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.