Quantificação das Placas Coronarianas Calcificadas pela Tomografia Computadorizada do Tórax: Correlação com a Técnica do Escore de Cálcio

Souza, Vitor Frauches; Santos, Alair Augusto Sarmet Moreira Damas dos; Mesquita, Cláudio Tinoco; Martins, Wolney de Andrade; Pelandré, Gustavo Lemos; Marchiori, Edson; Nacif, Marcelo Souto

doi:10.36660/abc.20190235

Cited by 4 publications

(1 citation statement)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Chest CT in the cardiac surgery preoperative period can be used to stratify the risk of CVDs and for planning interventions to improve the assistance provided (46) . This preoperative test allowed reducing mortality and the incidence of postoperative stroke, as well as optimizing the surgical approach (26) .…”

Section: Statins Present Benefits For Patients With Acute Coronary Sy...mentioning

confidence: 99%

Recomendações para o preparo do paciente em pré-operatório de cirurgias cardíacas: revisão de escopo

et al. 2022

View full text Add to dashboard Cite

Objetivo: Mapear a produção de conhecimento a respeito das recomendações para o preparo pré-operatório de qualquer tipo de cirurgia cardíaca, eletiva ou de urgência, de pacientes com idade superior a 18 anos em unidades de internação hospitalar. Método: Revisão de escopo realizada em dezembro de 2020, em 11 fontes de dados, seguindo as recomendações do Instituto Joanna Briggs, com análise de dados descritiva. Resultados: Foram selecionados e caracterizados 27 estudos, identificando-se como principais recomendações pré-operatórias de cirurgia cardíaca: a educação pré-operatória, medicações, escalas para estratificação de risco pós-operatório, treinamento muscular inspiratório e realização de exames. Conclusão: As recomendações apresentaram eficácia na estabilidade hemodinâmica, atenuação do medo e ansiedade do paciente quanto à cirurgia, de arritmias, internação hospitalar, taxa de mortalidade e complicações pós-operatórias.

show abstract

Section: Statins Present Benefits For Patients With Acute Coronary Sy...mentioning

confidence: 99%

Recomendações para o preparo do paciente em pré-operatório de cirurgias cardíacas: revisão de escopo

et al. 2022

View full text Add to dashboard Cite

show abstract

Prevalence and clinical implications of coronary artery calcium scoring on non-gated thoracic computed tomography: a systematic review and meta-analysis

Osborne-Grinter,

Ali,

Williams

2023

Eur Radiol

View full text Add to dashboard Cite

Objectives Coronary artery calcifications (CACs) indicate the presence of coronary artery disease. CAC can be found on thoracic computed tomography (CT) conducted for non-cardiac reasons. This systematic review and meta-analysis of non-gated thoracic CT aims to assess the clinical impact and prevalence of CAC. Methods Online databases were searched for articles assessing prevalence, demographic characteristics, accuracy and prognosis of incidental CAC on non-gated thoracic CT. Meta-analysis was performed using a random effects model. Results A total of 108 studies (113,406 patients) were included (38% female). Prevalence of CAC ranged from 2.7 to 100% (pooled prevalence 52%, 95% confidence interval [CI] 46–58%). Patients with CAC were older (pooled standardised mean difference 0.88, 95% CI 0.65–1.11, p < 0.001), and more likely to be male (pooled odds ratio [OR] 1.95, 95% CI 1.55–2.45, p < 0.001), with diabetes (pooled OR 2.63, 95% CI 1.95–3.54, p < 0.001), hypercholesterolaemia (pooled OR 2.28, 95% CI 1.33–3.93, p < 0.01) and hypertension (pooled OR 3.89, 95% CI 2.26–6.70, p < 0.001), but not higher body mass index or smoking. Non-gated CT assessment of CAC had excellent agreement with electrocardiogram-gated CT (pooled correlation coefficient 0.96, 95% CI 0.92–0.98, p < 0.001). In 51,582 patients, followed-up for 51.6 ± 27.4 months, patients with CAC had increased all cause mortality (pooled relative risk [RR] 2.13, 95% CI 1.57–2.90, p = 0.004) and major adverse cardiovascular events (pooled RR 2.91, 95% CI 2.26–3.93, p < 0.001). When CAC was present on CT, it was reported in between 18.6% and 93% of reports. Conclusion CAC is a common, but underreported, finding on non-gated CT with important prognostic implications. Clinical relevance statement Coronary artery calcium is an important prognostic indicator of cardiovascular disease. It can be assessed on non-gated thoracic CT and is a commonly underreported finding. This represents a significant population where there is a potential missed opportunity for lifestyle modification recommendations and preventative therapies. This study aims to highlight the importance of reporting incidental coronary artery calcium on non-gated thoracic CT. Key Points • Coronary artery calcification is a common finding on non-gated thoracic CT and can be reliably identified compared to gated-CT. • Coronary artery calcification on thoracic CT is associated with an increased risk of all cause mortality and major adverse cardiovascsular events. • Coronary artery calcification is frequently not reported on non-gated thoracic CT.

show abstract

Nosso Precioso Escore de Cálcio

Trad¹

2020

Arquivos Brasileiros De Cardiologia

View full text Add to dashboard Cite

Quantificação das Placas Coronarianas Calcificadas pela Tomografia Computadorizada do Tórax: Correlação com a Técnica do Escore de Cálcio

Cited by 4 publications

References 26 publications

Recomendações para o preparo do paciente em pré-operatório de cirurgias cardíacas: revisão de escopo

Recomendações para o preparo do paciente em pré-operatório de cirurgias cardíacas: revisão de escopo

Prevalence and clinical implications of coronary artery calcium scoring on non-gated thoracic computed tomography: a systematic review and meta-analysis

Nosso Precioso Escore de Cálcio

Contact Info

Product

Resources

About