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Meaning of zero coronary calcium score in symptomatic patients referred for coronary computed tomographic angiography.

DC Field Value Language
dc.contributor.author이지원-
dc.contributor.author이혜정-
dc.contributor.author장혁재-
dc.contributor.author최병욱-
dc.contributor.author허진-
dc.contributor.author김영진-
dc.contributor.author홍유진-
dc.contributor.author김희영-
dc.contributor.author남지은-
dc.date.accessioned2014-12-19T16:47:00Z-
dc.date.available2014-12-19T16:47:00Z-
dc.date.issued2012-
dc.identifier.issn2047-2404-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/90185-
dc.description.abstractAIMS: The clinical implication of a zero coronary calcium score (CCS) in patients with chest pain syndrome has been under debate. This study was undertaken to determine the meaning of a CCS of zero in a large sample of symptomatic patients referred for coronary computed tomographic (CT) angiography. METHODS AND RESULTS: We consecutively enrolled 2088 patients (age 58 ± 10 years, 1028 men) who had undergone 64-slice cardiac CT due to chest pain syndrome. A CCS of zero was detected in 1114 patients (471 men and 643 women). Of these 1114 patients, obstructive coronary artery disease (CAD) was found in a total of 48 patients (4.3%); 35 men (7.4%) and 13 women (2.0%). Among the zero CCS patients with obstructive CAD, men had a higher prevalence of both premature CAD (49 vs. 0%) and multivessel disease (20 vs. 8%) than women. During the follow-up period (1033 ± 136 days), early revascularization was done in 25 patients (2.2%, 18 men and 7 women) and there were 14 major adverse cardiac events (1.3%, 8 men and 7 women) among the zero CCS patients. CAD severity was a strong prognostic indicator in the zero CCS patients. CONCLUSION: A CCS of zero cannot be used by itself to exclude obstructive CAD in symptomatic patients referred for coronary CT angiography (CCTA). The prevalence of obstructive CAD and adverse cardiac events are not negligible in symptomatic patients with a CCS of zero, and CAD severity by CCTA is associated with higher rates of adverse cardiac event.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfEUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHCalcinosis/diagnostic imaging*-
dc.subject.MESHCardiac-Gated Imaging Techniques-
dc.subject.MESHChest Pain/diagnostic imaging*-
dc.subject.MESHChi-Square Distribution-
dc.subject.MESHContrast Media-
dc.subject.MESHCoronary Angiography/methods*-
dc.subject.MESHCoronary Artery Disease/diagnostic imaging*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIopamidol-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrevalence-
dc.subject.MESHProportional Hazards Models-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Assessment-
dc.subject.MESHRisk Factors-
dc.subject.MESHTomography, X-Ray Computed/methods*-
dc.titleMeaning of zero coronary calcium score in symptomatic patients referred for coronary computed tomographic angiography.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorYoung Jin Kim-
dc.contributor.googleauthorJin Hur-
dc.contributor.googleauthorHye-Jeong Lee-
dc.contributor.googleauthorHyuk-Jae Chang-
dc.contributor.googleauthorJi Eun Nam-
dc.contributor.googleauthorYoo Jin Hong-
dc.contributor.googleauthorHee Young Kim-
dc.contributor.googleauthorJi Won Lee-
dc.contributor.googleauthorByoung Wook Choi-
dc.identifier.doi22461571-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03490-
dc.contributor.localIdA04059-
dc.contributor.localIdA04370-
dc.contributor.localIdA04422-
dc.contributor.localIdA01213-
dc.contributor.localIdA01269-
dc.contributor.localIdA00727-
dc.contributor.localIdA03204-
dc.contributor.localIdA03320-
dc.relation.journalcodeJ00806-
dc.identifier.eissn2047-2412-
dc.identifier.pmid22461571-
dc.identifier.urlhttp://ehjcimaging.oxfordjournals.org/content/13/9/776.full-
dc.subject.keywordCoronary CT-
dc.subject.keywordCoronary artery calcium-
dc.subject.keywordChest pain syndrome-
dc.subject.keywordPrognosis-
dc.contributor.alternativeNameLee, Ji Won-
dc.contributor.alternativeNameLee, Hye Jeong-
dc.contributor.alternativeNameChang, Hyuck Jae-
dc.contributor.alternativeNameChoi, Byoung Wook-
dc.contributor.alternativeNameHur, Jin-
dc.contributor.alternativeNameKim, Young Jin-
dc.contributor.alternativeNameHong, Yoo Jin-
dc.contributor.alternativeNameKim, Hee Yeong-
dc.contributor.alternativeNameNam, Ji Eun-
dc.contributor.affiliatedAuthorChang, Hyuck Jae-
dc.contributor.affiliatedAuthorChoi, Byoung Wook-
dc.contributor.affiliatedAuthorHur, Jin-
dc.contributor.affiliatedAuthorHong, Yoo Jin-
dc.contributor.affiliatedAuthorKim, Hee Yeong-
dc.contributor.affiliatedAuthorNam, Ji Eun-
dc.contributor.affiliatedAuthorKim, Young Jin-
dc.contributor.affiliatedAuthorLee, Ji Won-
dc.contributor.affiliatedAuthorLee, Hye Jeong-
dc.citation.volume13-
dc.citation.number9-
dc.citation.startPage776-
dc.citation.endPage785-
dc.identifier.bibliographicCitationEUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, Vol.13(9) : 776-785, 2012-
dc.identifier.rimsid32413-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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