PATIENTS WITH HIV HAVE HIGH-RISK CORONARY PLAQUE ON SCREENING CT CORONARY ANGIOGRAPHY AND MORE CORONARY EVENTS, BUT LESS INVASIVE TREATMENT STRATEGIES

Abstract An early invasive strategy in patients who have acute coronary syndrome without ST-elevation (NSTE-ACS) can improve clinical outcome in high-risk subgroups. According to the current guidelines of the European Society of Cardiology (ESC), the majority of NSTE-ACS patients are classified as “high-risk”. We propose to prioritise patients with a global registry of acute coronary events (GRACE) risk score >140 over patients with isolated troponin rise or electrocardiographic changes and a GRACE risk score <140. We also acknowledge that same-day transfer for all patients at a high risk is not necessary in the Netherlands since the majority of Dutch cardiology departments are equipped with a catheterisation laboratory where diagnostic coronary angiography is routinely performed in NSTE-ACS patients. Therefore, same-day transfer should be restricted to true high-risk patients (in addition to those NSTE-ACS patients with very high-risk (VHR) criteria) in centres without coronary angiography capabilities.

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Coronary plaque burden in patients with stable and unstable coronary artery disease using multislice CT coronary angiography

La radiologia medica ◽

10.1007/s11547-011-0722-5 ◽

2011 ◽

Vol 116 (8) ◽

pp. 1174-1187 ◽

Cited By ~ 1

Author(s):

N. Mollet ◽

E. Maffei ◽

C. Martini ◽

A. Weustink ◽

C. van Mieghem ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Coronary Angiography ◽

Multislice Ct ◽

Coronary Plaque ◽

Ct Coronary Angiography ◽

Plaque Burden ◽

Unstable Coronary Artery Disease ◽

Artery Disease

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Role of multidetector CT Coronary Angiography in Assessment of the prevalence and plaque composition between dyslipidemic and non dyslipidemic patients

QJM ◽

10.1093/qjmed/hcaa068.002 ◽

2020 ◽

Vol 113 (Supplement_1) ◽

Author(s):

S A Elsaed ◽

K E Allam ◽

E A S Geneidi ◽

A S Abdelrahman

Keyword(s):

Coronary Angiography ◽

Multidetector Ct ◽

Multislice Ct ◽

Coronary Plaque ◽

Distal Segment ◽

Ct Coronary Angiography ◽

Plaque Burden ◽

Plaque Composition ◽

New Applications

Abstract Purpose To highlight the role of multislice CT coronary angiography with its new applications such as reformatted images, and high resolution imaging, regarding coronary plaque composition and prevalence in dyslipidemic and non dyslipidemic patients Methods The study included 30 patients, 15 non dyslipidemic and 15 dyslipidemic patients. Each patient included in the study was subjected to full history taking, reviewing medical sheet. CTCA was performed for all patients followed by analysis of the plaque composition and percent stenosis using the axial images and multiplanar reconstruction. Results It was found that dyslipidemic patients had more plaque burden than non dyslipidemic. The dyslipidemic patients were more liable for multiple and soft plaques, mainly appreciated at the distal segment of the coronary arteries while non dyslipidemic were more liable for single and calcific/mixed plaques. Thus, may encourage the clinician to use lipid lower drugs as primary or secondary intervention for CAD.

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