Evidence map›Paper›PMID 40278217›Full record

ReviewJournal of cardiovascular development and disease2025

Coronary Computed Angiography and Coronary Artery Calcium Score for Preoperative Cardiovascular Risk Stratification in Patients Undergoing Noncardiac Surgery.

Ioannis Kyriakoulis, Sriram S Kumar, Georgios D Lianos, Dimitrios Schizas, Damianos G Kokkinidis

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

6 citing papers in PubMed.

  1. Observational
  2. Review
  3. Review
  4. Article
  5. Preoperative cardiovascular evaluation in patients with cancer.Frontiers in cardiovascular medicine · 2026
    Review
  6. Review
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

5 authors.

Ioannis KyriakoulisFaculty of Medicine, School of Health Sciences, University of Thessaly, 41100 Larissa, Greece.
Sriram S KumarDepartment of Medicine, Jacobi Medical Center, 1400 Pelham Parkway South, 3N1, Suite B, Bronx, NY 10461, USA.ORCID 0000-0001-5365-7135
Georgios D LianosDepartment of Surgery, University Hospital of Ioannina, 45110 Ioannina, Greece.
Dimitrios SchizasDepartment of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece.ORCID 0000-0002-7046-0112
Damianos G KokkinidisHeart and Vascular Institute, Yale New Haven Health, Lawrence and Memorial Hospital, New London, CT 06320, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perioperative and long-term postoperative major adverse cardiovascular events (MACE) are a leading cause of morbidity and mortality in patients undergoing noncardiac surgery. In selected high-risk patients, when information about cardiovascular status may influence surgical decisions, preoperative risk stratification is reasonable, with stress imaging being the preferred method. Coronary computed angiography (CCTA) and coronary artery calcium score (CACS) offer direct anatomical assessment of atherosclerotic coronary arteries and help gauge the extent and severity of coronary artery disease. Strong evidence supports that CCTA and CACS, either alone or in combination, are reliable methods for assessing the risk of both perioperative and long-term postoperative MACE, often demonstrating equal or superior prognostic performance compared to traditional imaging tools. Moreover, integrating CCTA or CACS into standard preoperative imaging protocols further enhances perioperative risk prediction and improves the ability to accurately stratify patients. Future research is needed to better define the role of CCTA and CACS in preoperative cardiovascular risk evaluation of patients undergoing noncardiac surgery.

Indexed as

coronary artery calcium score (CACS)coronary computed tomography angiography (CCTA)major adverse cardiovascular events (MACE)noncardiac surgerypreoperative risk stratification

Identifiers

PMID40278217
PMCPMC12027494

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Registered trials

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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.