Evidence map›Paper›PMID 42291041›Full record

ArticleAmerican journal of preventive cardiology2026

Incremental prognostic value of coronary artery calcium progression within a large community-benefit calcium score registry.

Michael D Glidden, Santosh K Sirasapalli, Mark Yoder, Jean-Eudes Dazard, Zhuo Chen, Sai Rahul Ponnana, Kanimozhi Sivanantham, Neda Shafiabadi Hassani, Tong Zhang, Gokul Parameswaran and 9 more

Registry-linked trialAbstract read
In one paragraph

Article in American journal of preventive cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04075162 (Community Benefit of No-charge Calcium Score Screening Program), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04075162 recruitingnot on this map

Community Benefit of No-charge Calcium Score Screening Program

Typeobservational_patient_registrySponsorUniversity Hospitals Cleveland Medical CenterRan2014 to 2030Enrolled77,000ConditionsCardiovascular Risk Factor
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

19 authors.

Michael D GliddenHarrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106 USA.
Santosh K SirasapalliCase Western Reserve University School of Medicine, Cleveland, OH, 44106 USA.
Mark YoderHarrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106 USA.
Jean-Eudes DazardCase Western Reserve University School of Medicine, Cleveland, OH, 44106 USA.
Zhuo ChenCase Western Reserve University School of Medicine, Cleveland, OH, 44106 USA.
Sai Rahul PonnanaCase Western Reserve University School of Medicine, Cleveland, OH, 44106 USA.
Kanimozhi SivananthamCase Western Reserve University School of Medicine, Cleveland, OH, 44106 USA.
Neda Shafiabadi HassaniCase Western Reserve University School of Medicine, Cleveland, OH, 44106 USA.
Tong ZhangCase Western Reserve University School of Medicine, Cleveland, OH, 44106 USA.
Gokul ParameswaranCase Western Reserve University School of Medicine, Cleveland, OH, 44106 USA.
Robert A OkyereHarrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106 USA.
Joseph K AmoahHarrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106 USA.
Salil V DeoDepartment of Surgery, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, 44106 USA.
Ian J NeelandHarrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106 USA.
Robert GilkesonCase Western Reserve University School of Medicine, Cleveland, OH, 44106 USA.
Imran RashidHarrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106 USA.
Sadeer Al-KindiDeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX, 77030 USA.
Daniel I SimonHarrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106 USA.
Sanjay RajagopalanHarrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106 USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Coronary artery calcium (CAC) scoring is a robust cardiovascular risk marker, yet the prognostic value of serial assessment and the relative importance of incident calcium versus progression from elevated baseline CAC remains incompletely defined. Methods: We analyzed 4166 CLARIFY registry participants (NCT04075162) who underwent ≥2 CAC scans ≥11 months apart (mean interval 4.5 years). Defining CAC progression (ΔCAC>10 Agatston units, AU) identified 1982 progressors and 2184 non-progressors. Annualized absolute, square-root, and log-transformed progression were evaluated for association with major adverse cardiovascular events (MACE: myocardial infarction, stroke, mortality, revascularization, and heart failure). Incremental prognostic value was assessed by adding annualized progression to the base MESA-CAC model incorporating baseline CAC, demographics, and traditional risk factors. Results: Over a median 5.9 year follow-up, progressors had higher MACE incidence, though risk gradients differed by baseline CAC. Incident CAC from a baseline zero score was not associated with increased MACE (all Conclusions: Serial CAC imaging may provide incremental prognostic value in individuals with pre-existing atherosclerosis. While incident CAC after a baseline zero score may confer limited short-term risk, it may present a window for preventive intervention.

Indexed as

Calcium progressionCardiovascular preventionRisk stratificationSerial coronary artery calcium scoring

Identifiers

PMID42291041
PMCPMC13261253

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Registered trials

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.