Adoption of coronary artery disease - Reporting and Data System (CAD-RADS™) and observed impact on medical therapy and systolic blood pressure control

Hull, Robert; Berger, Jeremy; Boster, Joshua; Williams, Michael; Sharp, Alec; Fentanes, Emilio; Maroules, Christopher D.; Cury, Ricardo C.; Thomas, Dustin

doi:10.1016/j.jcct.2020.01.005

Cited by 11 publications

(4 citation statements)

References 39 publications

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“…14 CAD-RADS correlate with the degree of stenosis measured by invasive coronary angiography(ICA) with high diagnostic accuracy. 15,16 The grading of CAD-RADS are: CAD-RADS 0(0%)-absence of CAD, CAD-RADS 1(1-24%)-minimal non obstructive CAD, CAD-RADS 2 (25-49%)-mild non obstructive CAD, CAD-RADS 3(50-69%)-moderate stenosis, CAD-RADS 4 A(70-99%) or 2-vessels ≥ 70% stenosis, and CAD-RADS 4 B left main ≥50% or 3-vessel obstructive (≥70%) disease-Severe stenosis, CAD-RADS 5(100%)-total occlusion in one or all 3 coronary arteries and CAD-RADS N (non-diagnostic study-obstructive CAD cannot be excluded. 14 Grading of stenosis of each coronary artery was done as per the classification system suggested by the Society of Cardiovascular Computed Tomography.…”

Section: Methodsmentioning

confidence: 99%

Modes of Presentation and Patterns of Coronary Artery Disease in Patients Undergoing Percutaneous Intervention at Birat Medical College Teaching Hospital

Shah,

Bista,

2023

Nepalese Heart J.

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Background and Aims: Percutaneous coronary interventions have been provided in various hospitals of Nepal for more than two decades. Hence, we aimed to study the percutaneous coronary intervention revascularization status in patients with coronary artery disease at a tertiary center of eastern Nepal. Methods: A cross sectional study was conducted at Birat Medical College Teaching Hospital from 1st Aug to 30th Feb 2023. Ninety seven coronary artery disease patients (Unstable angina, Non ST elevated Myocardial Infarction ST elevated Myocardial Infarction and Stable Angina) requiring percutaneous coronary interventions were enrolled. Patient socio-demography and findings of percutaneous coronary intervention were recorded, entered in Microsoft Excel and analyzed by SPSS 23. Results: Majority 30(31.3%) had unstable angina. Left main coronary artery was normal in all patients. Severe stenosis was found in 58(59.7%) of left anterior descending artery, 32(32.9%) of right coronary artery and 29(29.8%) of left circumflex artery. Total occlusion was found in 10(10.3%) of left anterior descending artery, 8(8.2%) of right coronary artery and 6(6.2%) of left circumflex artery. Majority 68(70.1%) of patients had elective percutaneous coronary intervention. Conclusion: The most common mode of presentation of coronary artery disease was unstable angina and majority have severe stenosis. The preferred intervention was elective percutaneous coronary intervention.

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Section: Methodsmentioning

confidence: 99%

Modes of Presentation and Patterns of Coronary Artery Disease in Patients Undergoing Percutaneous Intervention at Birat Medical College Teaching Hospital

Shah,

Bista,

2023

Nepalese Heart J.

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“…20,21 Recent publications have highlighted that adoption of CAD-RADS in clinical practice results in reduced downstream testing and cardiology referral rates in patients with non-obstructive coronary artery disease 22 and has a favorable impact on medical therapy and systolic blood pressure control. 23 Finally, recent studies have validated the performance of deep learning algorithms for the evaluation of CAD-RADS classification on CCTA. 24 There has been widespread adoption of CAD-RADS in clinical practice with most sites in the United States and around the world using this classification for reporting CCTA on a routine basis.…”

Section: Clinical Value Of Cad-rads and Coronary Ct Angiographymentioning

confidence: 99%

CAD-RADS™ 2.0 - 2022 Coronary Artery Disease-Reporting and Data System

Cury

Leipsic

Abbara

et al. 2022

Journal of Cardiovascular Computed Tomography

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117

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“…Hull, Thomas and colleagues reported the association of structured CTA reporting using CAD-RADS to changes in statin and aspirin following the institutional adoption of CAD-RADS reporting. 24 The authors observed that statin initiation or dose escalation was more common in the CAD-RADS period (adjusted OR 1.46; 95% CI 1.12–1.90), mainly driven by new statin prescriptions in those with CAD on CTA. The authors also observed slight reductions in post-CTA cholesterol values (compared to pre-CTA values) following the institution of CAD-RADS reporting.…”

Section: Coronary Artery Diseasementioning

confidence: 99%