☆ 4.7 Editorial Material

Predicting Left Main Coronary Artery Stenosis Without Imaging Are We There Yet?

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2022)

Journal

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

Volume 79, Issue 7, Pages 662-664

Publisher

ELSEVIER SCIENCE INC

DOI: 10.1016/j.jacc.2021.11.054

Keywords

coronary artery disease; coronary CT angiography; stable ischemic heart disease; stress testing

Categories

Cardiac & Cardiovascular Systems

Ask authors/readers for more resources

Protocol

Community support

Reagent

Community support

Authors

I am an author on this paper

Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7

Not enough ratings

Secondary Ratings

Novelty

-

Significance

-

Scientific rigor

-

Rate this paper

Recommended

Article Cardiac & Cardiovascular Systems

Predictors of Left Main Coronary Artery Disease in the ISCHEMIA Trial

Roxy Senior, Harmony R. Reynolds, James K. Min, Daniel S. Berman, Michael H. Picard, Bernard R. Chaitman, Leslee J. Shaw, Courtney B. Page, Sajeev C. Govindan, Jose Lopez-Sendon, Jesus Peteiro, Gurpreet S. Wander, Jaroslaw Drozdz, Jose Marin-Neto, Joseph B. Selvanayagam, Jonathan D. Newman, Christophe Thuaire, Johann Christopher, James J. Jang, Raymond Y. Kwong, Sripal Bangalore, Gregg W. Stone, Sean M. Brien, William E. Boden, David J. Maron, Judith S. Hochman

Summary: In patients with moderate or severe ischemia, it was found that clinical and stress testing parameters were not strongly predictive of left main coronary artery disease (LMD) on coronary computed tomography angiography (CTA). Anatomical imaging is necessary to rule out LMD in most patients with moderate or severe ischemia.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2022)

Add to Collection

Article Computer Science, Artificial Intelligence

Application of CT coronary flow reserve fraction based on deep learning in coronary artery diagnosis of coronary heart disease complicated with diabetes mellitus

Zhaoping Wang, Hongji Yin, Wei Jing, Hui Sun, Ming Ru, Suhua Zhang, Yingcui Wang

Summary: This paper proposes the application research of FFR based on deep learning in the diagnosis of coronary heart disease complicated with diabetes mellitus. Through the core theoretical research on coronary heart disease complicated with diabetes mellitus and FFR, it is analyzed that the existing coronary angiography is still in the development stage and combined with FFR can play a better therapeutic effect.

NEURAL COMPUTING & APPLICATIONS (2022)

Add to Collection

Article Radiology, Nuclear Medicine & Medical Imaging

Combination of computed tomography angiography with coronary artery calcium score for improved diagnosis of coronary artery disease: a collaborative meta-analysis of stable chest pain patients referred for invasive coronary angiography

Mahmoud Mohamed, Maria Bosserdt, Viktoria Wieske, Benjamin Dubourg, Hatem Alkadhi, Mario J. Garcia, Sebastian Leschka, Elke Zimmermann, Abbas A. Shabestari, Bjarne L. Norgaard, Matthijs F. L. Meijs, Kristian A. Ovrehus, Axel C. P. Diederichsen, Juhani Knuuti, Bjrn A. Halvorsen, Vladymir Mendoza-Rodriguez, Yung-Liang Wan, Nuno Bettencourt, Eugenio Martuscelli, Ronny R. Buechel, Hans Mickley, Kai Sun, Simone Muraglia, Philipp A. Kaufmann, Bernhard A. Herzog, Jean-Claude Tardif, Georg M. Schuetz, Michael Laule, David E. Newby, Stephan Achenbach, Matthew Budoff, Robert Haase, Federico Biavati, Aldo Vasquez Mezquita, Peter Schlattmann, Marc Dewey

Summary: Combining coronary computed tomography angiography (CCTA) with coronary artery calcium (CAC) score can significantly improve the diagnosis of coronary artery disease (CAD). The addition of CAC score is particularly beneficial when CCTA alone is inconclusive.

EUROPEAN RADIOLOGY (2023)

Add to Collection

Article Radiology, Nuclear Medicine & Medical Imaging

Impact of vessel morphology on CT-derived fractional-flow-reserve in non-obstructive coronary artery disease in right coronary artery

Toshimitsu Tsugu, Kaoru Tanaka, Dries Belsack, Yuji Nagatomo, Mayuko Tsugu, Jean-Francois Argacha, Bernard Cosyns, Nico Buls, Michel De Maeseneer, Johan De Mey

Summary: In non-obstructive coronary artery disease, the decline of CT-derived fractional flow reserve (FFRCT) depends not only on vessel length but also on the lumen volume. A new marker, the ratio of lumen volume to vessel length (V/L ratio), was found to be the strongest predictor of distal FFRCT.

EUROPEAN RADIOLOGY (2023)

Add to Collection

Article Radiology, Nuclear Medicine & Medical Imaging

Prognostic value of CT-derived coronary artery disease characteristics varies by ASCVD risk: insights from the PROMISE trial

Borek Foldyna, Thomas Mayrhofer, Michael T. Lu, Julia Karady, Marton Kolossvary, Maros Ferencik, Svati H. Shah, Neha J. Pagidipati, Pamela S. Douglas, Udo Hoffmann

Summary: The prognostic value of CT-derived coronary artery disease (CAD) characteristics differs across categories of clinical cardiovascular risk. Among patients with low cardiovascular disease risk, CAD >= 50% has the highest prognostic value, while coronary artery calcium (CAC) and high-risk plaque (HRP) have higher prognostic value among patients with high cardiovascular disease risk.

EUROPEAN RADIOLOGY (2023)

Add to Collection

Article Cardiac & Cardiovascular Systems

Coronary computed tomography angiography in patients with stable coronary artery disease

David Feldman, Jacqueline Latina, Jana Lovell, Roger S. Blumenthal, Armin Arbab-Zadeh

Summary: The treatment of coronary artery disease focuses on managing symptoms and preventing cardiovascular events. Coronary CTA has emerged as the first line noninvasive imaging modality for evaluating coronary atherosclerosis, improving diagnostic accuracy and patient outcomes.

TRENDS IN CARDIOVASCULAR MEDICINE (2022)

Add to Collection

Article Radiology, Nuclear Medicine & Medical Imaging

A new predictor of coronary artery disease in acute ischemic stroke or transient ischemic attack patients: pericarotid fat density

Yu Lan, Jin Shang, Yue Ma, Yanhua Zhen, Yuxue Dang, Dongqing Ren, Ting Liu, Ronghui Ju, Ning Guo, Ximing Wang, Yang Hou

Summary: This study evaluates the incremental predictive value of pericarotid fat density (PFD) on head and neck computed tomography angiography (CTA) for obstructive coronary artery disease (CAD) compared to a clinical risk model (Framingham risk score), carotid artery stenosis, and plaque type in acute ischemic stroke (AIS) or transient ischemic attack (TIA) patients without a known history of CAD. The results show that CTA-derived PFD measurements offer additional predictive value for obstructive CAD beyond the clinical risk model and stenosis, improving risk stratification for TIA or stroke patients without a history of CAD.

EUROPEAN RADIOLOGY (2023)

Add to Collection

Article Rheumatology

Distal coronary artery abnormalities in Kawasaki disease: experience on CT coronary angiography in 176 children

Manphool Singhal, Rakesh Kumar Pilania, Ankur Kumar Jindal, Aman Gupta, Avinash Sharma, Sandesh Guleria, Nameirakpam Johnson, Muniraju Maralakunte, Pandiarajan Vignesh, Deepti Suri, Manavjit Singh Sandhu, Surjit Singh

Summary: Objective evaluation of coronary artery abnormalities (CAAs) in patients with Kawasaki disease (KD) is important. This study investigates the role of CT coronary angiography (CTCA) in detecting CAAs in the distal segments of coronary arteries in KD patients. The results show that CTCA can identify CAAs in the distal segments, including branches, of the coronary arteries, which cannot be detected by transthoracic echocardiography (TTE).

RHEUMATOLOGY (2023)

Add to Collection

Review Cardiac & Cardiovascular Systems

Progress of CT aortic angiography combined with coronary artery in the evaluation of acute aortic syndrome

Hengbin An, Ruigang Xie, Yinghui Ge, Tianyun Wang

Summary: Acute aortic syndrome (AAS) is a serious group of cardiovascular diseases that pose a significant threat to human life and health. Recent progress in science and technology has led to the application of various computer tomography (CT) angiography techniques in clinical settings, resulting in an increased diagnostic rate of AAS with coronary artery disease (CAD). Additionally, advancements in surgical technology and endovascular repair have significantly reduced mortality and complication rates associated with AAS surgery. Consequently, CT aortic angiography (CTA) combined with coronary CTA is increasingly being used for the identification of related diseases in the clinical diagnosis of AAS.

FRONTIERS IN CARDIOVASCULAR MEDICINE (2022)

Add to Collection

Article Multidisciplinary Sciences

Gender based lung cancer risks for symptomatic coronary artery disease patients undergone cardiac CT

Entesar Zawam Dalah, Abdulmunhem Obaideen, Sabaa Anam, Khalid Alzimami, Layal Khalid Jambi, David A. Bradley

Summary: This study estimated the lifetime risk of lung cancer in CAD patients receiving enhanced CCTA and unenhanced CTCS. The results showed significant differences in patient effective dose and organ doses between CTCS and CCTA. Female patients, younger patients, and those undergoing both CCTA and CTCS scans had higher risk. The mAs parameter had the greatest impact on patient dose.

PLOS ONE (2022)

Add to Collection

Article Medicine, General & Internal

Combined Coronary CT-Angiography and TAVI Planning: Utility of CT-FFR in Patients with Morphologically Ruled-Out Obstructive Coronary Artery Disease

Robin Fabian Gohmann, Patrick Seitz, Konrad Pawelka, Nicolas Majunke, Adrian Schug, Linda Heiser, Katharina Renatus, Steffen Desch, Philipp Lauten, David Holzhey, Thilo Noack, Johannes Wilde, Philipp Kiefer, Christian Krieghoff, Christian Luecke, Sebastian Ebel, Sebastian Gottschling, Michael A. Borger, Holger Thiele, Christoph Panknin, Mohamed Abdel-Wahab, Matthias Horn, Matthias Gutberlet

Summary: ML-based CT-FFR can be used to correctly categorize cCTA studies without obstructive CAD, especially for less experienced readers. Image quality and coronary artery calcium score have no correlation with recategorization.

JOURNAL OF CLINICAL MEDICINE (2022)

Add to Collection

Letter Medicine, General & Internal

CT or Invasive Coronary Angiography in Stable Chest Pain

Rita Redberg, Diane Jeon

Summary: This article presents the results of a trial conducted ten years ago on coronary computed tomographic angiography, which aimed to evaluate whether this method could shorten emergency department stays more quickly than usual testing. The article also raises a question for discussion regarding the necessity of further diagnostic testing.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

Add to Collection

Article Radiology, Nuclear Medicine & Medical Imaging

Association between Coronary Artery Disease Reporting and Data System-recommended Post-Coronary CT Angiography Management and Clinical Outcomes in Patients with Stable Chest Pain from a Chinese Registry

Jia Zhou, Chunjie Li, Hong Zhang, Chang Liu, Junjie Yang, Jia Zhao, Yonghong Hou, Yahang Tan, Hao Wang, Yaoshuang Li, Cun Xie, Minghui Wang, Chengjian Wang, Enyuan Zhang, Shuo Wang, Pengyu Zhao, Dongkai Shan, Shuo Liang, Yufan Gao, Yong Huo, Hongliang Cong, Zhigang Guo, Yundai Chen

Summary: This study retrospectively assessed the association between the appropriateness of post-CCTA management according to CAD-RADS 2.0 and clinical outcomes. The results showed that appropriate management was associated with a lower risk of major adverse cardiovascular events and a more prudent use of invasive coronary angiography.

RADIOLOGY (2023)

Add to Collection

Article Radiology, Nuclear Medicine & Medical Imaging

Prognostic value of coronary CT angiography in heart failure patients with preserved ejection fraction

Meng-Meng Yu, Wu-Xu Zuo, Xin Zhao, Xiang-Lin Tang, Yin-Yin Chen, Li-Li Dong, Xian-Hong Shu, Hang Jin, Meng-Su Zeng

Summary: This study investigated the prognostic value of coronary CT angiography (CCTA) in heart failure patients with preserved ejection fraction (HFpEF). The results showed a higher prevalence of coronary atherosclerosis in the HFpEF group compared to the non-HFpEF group. During the follow-up period, participants with HFpEF exhibited a higher risk of major adverse cardiovascular events (MACEs) in different CAD-RADS categories. CAD-RADS = 1-2 increased the risk of nonfatal myocardial infarction, while CAD-RADS ≥ 3 were associated with cardiovascular mortality and hospitalization due to heart failure.

EUROPEAN RADIOLOGY (2023)

Add to Collection

Article Medicine, General & Internal

Challenging Diagnosis of Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery

Hiyam Mahmoud, Eliza Cinteza, Cristiana Voicu, Irina Margarint, Iulian Rotaru, Amelia Aria, Tammam Youssef, Alin Nicolescu

Summary: Anomalous origin of the right coronary artery from the pulmonary artery is an extremely rare congenital heart disease. Although patients can be asymptomatic, early corrective intervention is generally recommended.

DIAGNOSTICS (2022)

Add to Collection

Article Cardiac & Cardiovascular Systems

Significant Facility-Level Variation in Utilization of and Adherence with Secondary Prevention Therapies Among Patients with Premature Atherosclerotic Cardiovascular Disease: Insights from the VITAL (Veterans wIth premaTure AtheroscLerosis) Registry7

Dhruv Mahtta, Michelle T. Lee, David J. Ramsey, Julia M. Akeroyd, Chayakrit Krittanawong, Safi U. Khan, Preetika Sinh, Mahboob Alam, Kirk N. Garratt, Richard S. Schofield, Christie M. Ballantyne, Laura A. Petersen, Salim S. Virani

Summary: The study revealed significant facility-level variation in the use and adherence with antiplatelets and statins among patients with premature and extremely premature ASCVD. Interventions are required to optimize care and reduce variation among young ASCVD patients.

CARDIOVASCULAR DRUGS AND THERAPY (2022)

Add to Collection

Review Health Care Sciences & Services

Contemporary outcomes studies to identify and mitigate the risk in patients with premature cardiovascular disease

Michelle T. Lee, Dhruv Mahtta, Mahboob Alam, Waqas Ullah, Khurram Nasir, Bashir Hanif, Salim S. Virani

Summary: Premature ASCVD patients often have multiple traditional cardiovascular risk factors, as well as genetic predisposition or unique non-traditional features such as substance abuse and chronic inflammatory conditions. Identification and management of at-risk individuals pose a great challenge for clinicians in this younger patient cohort.

EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH (2021)

Add to Collection

Article Cardiac & Cardiovascular Systems

Outcomes of Transcatheter Aortic Valve Implantation in Patients With Chronic and End-Stage Kidney Disease

Joshua Hahn, Hafeez Ul Hassan Virk, Fu'ad Al-Azzam, Kevin Greason, Bing Yue, Karim El Hachem, Michelle Lee, Samin Sharma, Angela Palazzo, Roxana Mehran, Mahboob Alam, Hani Jneid, Chayakrit Krittanawong

Summary: Patients with CKD and ESKD undergoing TAVI have higher morbidity and mortality rates, with AF and MS being independently associated with increased mortality in CKD patients, while there was no statistically significant association in ESKD patients.

AMERICAN JOURNAL OF CARDIOLOGY (2022)

Add to Collection

Review Cardiac & Cardiovascular Systems

Do We Really Need Aspirin Loading for STEMI?

Regina Ye, Hani Jneid, Mahboob Alam, Barry F. Uretsky, Dan Atar, Masafumi Kitakaze, Sean M. Davidson, Derek M. Yellon, Yochai Birnbaum

Summary: Aspirin loading is recommended for patients with ST elevation myocardial infarction (STEMI) as soon as possible after presentation, but its effects on the therapeutic effects of other medications have not been studied. This review suggests that aspirin loading may attenuate the protective effects of statins, ticagrelor, morphine, and postconditioning in reducing myocardial infarct size. Further research is needed to investigate the effects of aspirin loading on these medications and to compare aspirin loading with alternative antiplatelet regimens in STEMI patients.

CARDIOVASCULAR DRUGS AND THERAPY (2022)

Add to Collection

Review Cardiac & Cardiovascular Systems

Cerebral Embolic Protection during Transcatheter Aortic Valve Implantation: Updated Systematic Review and Meta-Analysis

Salman Zahid, Waqas Ullah, Muhammad Zia Khan, Muhammad Faisal Uddin, Devesh Rai, Sakina Abbas, Muhammad Usman Khan, Ahmed Hussein, Amr Salama, Dhrubajyoti Bandyopadhyay, Bipul Baibhav, Mohan Rao, Mahboob Alam, M. Chadi Alraies, Sudarshan Balla, Mohamad Alkhouli, Jeremiah P. Depta

Summary: The use of cerebral protection devices (CPD) during transcatheter aortic valve implantation (TAVI) reduces the risk of stroke and improves outcomes. A systematic review and meta-analysis showed that CPD was associated with a significant reduction in major adverse cardiovascular events, mortality, and stroke in patients undergoing TAVI. The use of CPD also resulted in lower MRI volume per lesion. However, there was no significant difference in acute kidney injury, bleeding, or vascular complications. It should be noted that the reduction in mortality was mainly driven by observational studies. (Curr Probl Cardiol 2023;48:101127.)

CURRENT PROBLEMS IN CARDIOLOGY (2023)

Add to Collection

Article Cardiac & Cardiovascular Systems

Predictors of In-Hospital Mortality in Patients With End-Stage Renal Disease Undergoing Transcatheter Aortic Valve Replacement: A Nationwide Inpatient Sample Database Analysis

Waqas Ullah, Munnam Jafar, Salman Zahid, Faizan Ahmed, Muhammad Zia Khan, Yasar Sattar, David L. Fischman, Salim S. Virani, Mahboob Alam

Summary: This study aims to identify predictors of mortality in patients with end-stage renal disease (ESRD) undergoing transcatheter aortic valve replacement (TAVR). The study found that baseline hypertension, liver disease, third-degree heart block, periprocedural pneumonia, cardiogenic shock, and ST-elevation myocardial infarction (STEMI) significantly increased in-hospital mortality in ESRD patients undergoing TAVR.

CARDIOVASCULAR REVASCULARIZATION MEDICINE (2022)

Add to Collection

Article Cardiac & Cardiovascular Systems

Meta-Analysis Comparing Distal Radial Versus Traditional Radial Percutaneous Coronary Intervention or Angiography

Yasar Sattar, Usama Talib, Mohammed Faisaluddin, David Song, Hassan Mehmood Lak, Aamir Laghari, Muhammad Zia Khan, Waqas Ullah, Islam Y. Elgendy, Sudarshan Balla, Ramesh Daggubati, Akram Kawsara, Hani Jneid, Chadi M. Alraies, Mahboob Alam

Summary: The study found that compared with traditional radial access, distal radial access has a lower risk of radial artery occlusion in coronary angiography and intervention, while other procedural-related complications are similar.

AMERICAN JOURNAL OF CARDIOLOGY (2022)

Add to Collection

Article Cardiac & Cardiovascular Systems

Readmission in Patients With ST-Elevation Myocardial Infarction in 4 Age Groups (<45, >45 to <60, 60 to <75, and >75)

Chayakrit Krittanawong, Bing Yue, Dhruv Mahtta, Bharat Narasimhan, Anirudh Kumar, Zhen Wang, Samin K. Sharma, Jacqueline E. Tamis-Holland, Somjot S. Brar, Roxana Mehran, Mahboob Alam, Hani Jneid, Salim S. Virani

Summary: The incidence of readmissions after ST-elevation myocardial infarction (STEMI) in young patients is increasing, mainly due to the prevalence of cardiometabolic risk factors. Cardiovascular etiologies are the most common cause of readmission, and the development of cardiogenic shock and acute renal failure during the index admission is associated with significantly higher rates of readmission.

AMERICAN JOURNAL OF CARDIOLOGY (2022)

Add to Collection

Editorial Material Cardiac & Cardiovascular Systems

Outcomes of MitraClip and Surgical Mitral Valve Repair in Patients With Left Ventricular Assist Device

Mian Tanveer Ud Din, Abdul Mannan Khan Minhas, Muhammad Osama Muslim, Muhammad Hisham Khan Wazir, Sourbha S. Dani, Sachin S. Goel, Mahboob Alam, Michel Pompeu Sa, Laura Seese, Sameer Hirji

AMERICAN JOURNAL OF CARDIOLOGY (2022)

Add to Collection

Review Cardiac & Cardiovascular Systems

Racial Disparities in Clinical Outcomes and Resource Utilization of Type 2 Myocardial Infarction in the United States: Insights From the National Inpatient Sample Database

Mohammed Mhanna, Abdul Mannan Khan Minhas, Robert W. Ariss, Salik Nazir, Safi U. Khan, Muthiah Vaduganathan, Ron Blankstein, Mahboob Alam, Khurram Nasir, Salim S. Virani

Summary: Compared to White patients, Other-races/ethnicities patients with T2MI have higher in-hospital mortality and longer length of stay. Hispanic and Other-races/ethnicities patients have higher hospital costs compared to White patients. All racial/ethnicity groups are less likely to be discharged to a facility compared to White patients.

CURRENT PROBLEMS IN CARDIOLOGY (2023)

Add to Collection

Editorial Material Cardiac & Cardiovascular Systems

Is It ST-Segment-Elevation Myocardial Infarction?

Yochai Birnbaum, Mahboob Alam

TEXAS HEART INSTITUTE JOURNAL (2022)

Add to Collection

Article Cardiac & Cardiovascular Systems

Contemporary trends in the incidence of spontaneous coronary artery dissection (SCAD) - ethnic and household income disparities

Mohsin S. Mughal, Hafsa Akbar, Ikwinder P. Kaur, Ali R. Ghani, Hasan Mirza, Weiyi Xia, Mohammed Haris Usman, Mahboob Alam, Tariq Helmy

Summary: This study investigated the overall incidence of spontaneous coronary artery dissection (SCAD) and its trends based on race, household income, and U.S. census regions. The incidence of SCAD is rising in all regions, with predominantly female patients. White population and higher-income groups have higher incidence rates. The highest incidence is in the West region, followed by the Northeast, Midwest, and South. There are significant differences in incidence rates among racial groups, household income quintiles, and U.S. census regions.

EXPERT REVIEW OF CARDIOVASCULAR THERAPY (2022)

Add to Collection

Review Cardiac & Cardiovascular Systems

Association of Body Mass Index With Outcomes in Patients Undergoing Percutaneous Left Atrial Appendage Closure With the Watchman Device

Abdul Mannan Khan Minhas, Sajjad Gul, Abu Baker Sheikh, Salik Nazir, Keerat Rai Ahuja, Muhammad Nadeem Anwar, Sourbha S. Dani, Sachin S. Goel, Salim S. Virani, Mahboob Alam

CURRENT PROBLEMS IN CARDIOLOGY (2022)

Add to Collection

Article Cardiac & Cardiovascular Systems

Lead Cap Use in Interventional Cardiology: Time to Protect Our Head in the Cardiac Catheterisation Laboratory?

Yasar Sattar, Prasanna M. Sengodan, Mustafa Sajjad Cheema, Nismat Javed, Shoaib Ashraf, Sadaf Fakhra, Anas Alharbi, Moinuddin Syed, Mahboob Alam, Islam Y. Elgendy, Affan Haleem, Akram Kawsara, M. Chadi Alraies, Ramesh Daggubati

Summary: Radiation exposure is a significant occupational hazard for interventional cardiologists and cardiac catheterisation laboratory staff. The use of lead caps can effectively reduce radiation exposure to the head and should be widely employed in the catheterisation laboratory as a mainstay personal protective equipment.

INTERVENTIONAL CARDIOLOGY-REVIEWS RESEARCH RESOURCES (2023)

Add to Collection

No Data Available

© Peeref 2019-2024. All rights reserved.