Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 신상훈 | * |
dc.date.accessioned | 2019-10-29T16:30:33Z | - |
dc.date.available | 2019-10-29T16:30:33Z | - |
dc.date.issued | 2019 | * |
dc.identifier.issn | 1473-5830 | * |
dc.identifier.other | OAK-25521 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/251672 | - |
dc.description.abstract | OBJECTIVES: We purposed to evaluate the reliability of coronary computed tomography angiography (CCTA) in patients with a CCTA finding of high-grade stenosis. PATIENTS AND METHODS: Between May 2015 and March 2017, patients who underwent invasive coronary angiography (ICA) because of detection of high-grade stenosis by CCTA ( ≥ 70% stenosis of epicardial arteries or ≥ 50% of the left main coronary artery; Coronary Artery Disease Reporting and Data System grade 4 or 5) were selected for this study from our prospective registry cohort. RESULTS: Among 646 eligible patients, only 263 (41%) patients were correctly diagnosed with significant coronary artery disease on ICA as same as CCTA findings. The per-vessel analysis revealed that 620 (68%) of 916 affected vessels had confirmed concordant significant stenosis between the CCTA and ICA results. The concordance rate was 49% among the segments with identified plaques in the per-segment analysis. Revascularization of the target vessel identified with severe stenosis by CCTA was performed in 228 (35%) patients. A logistic regression analysis revealed that smoking [odds ratio (OR): 1.59, 95% confidence interval (CI): 1.04-2.42, P = 0.03], taller height (OR: 1.02, 95% CI: 1.00-1.05, P = 0.016), and presence of typical symptoms of angina (OR: 1.86, 95% CI: 1.34-2.59, P < 0.001) were found to increase the probability of diagnostic concordance. A greater calcified segment involvement score (OR: 0.88, 95% CI: 0.82-0.94, P < 0.001) was associated with a lower diagnostic concordance. CONCLUSION: The diagnostic discordance between CCTA and ICA was frequently observed in patients who were diagnosed with a CCTA finding of high-grade stenosis. | * |
dc.language | English | * |
dc.publisher | NLM (Medline) | * |
dc.title | Clinical utility of coronary computed tomography angiography in patients diagnosed with high-grade stenosis of the coronary arteries | * |
dc.type | Article | * |
dc.relation.issue | 7 | * |
dc.relation.volume | 30 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 511 | * |
dc.relation.lastpage | 519 | * |
dc.relation.journaltitle | Coronary artery disease | * |
dc.identifier.doi | 10.1097/MCA.0000000000000750 | * |
dc.identifier.scopusid | 2-s2.0-85072944098 | * |
dc.author.google | Kim C. | * |
dc.author.google | Hong S.-J. | * |
dc.author.google | Shin S. | * |
dc.author.google | Ahn C.-M. | * |
dc.author.google | Kim J.-S. | * |
dc.author.google | Kim B.-K. | * |
dc.author.google | Ko Y.-G. | * |
dc.author.google | Choi B.-W. | * |
dc.author.google | Choi D. | * |
dc.author.google | Jang Y. | * |
dc.author.google | Hong M.-K. | * |
dc.contributor.scopusid | 신상훈(7403646689;27868133100) | * |
dc.date.modifydate | 20240318142152 | * |