Cardiovascular risk and coronary atherosclerotic plaques detected by multidetector computed tomography: Framingham and SCORE risk models underestimate coronary atherosclerosis in the symptomatic low-risk Turkish population

Coronary Artery Disease

Volumn 23, Issue 3, 2012, Pages 195-200

  Canpolat, Uǧur ^a   Yorgun, Hikmet ^b   Aytemir, Kudret ^a   Hazirolan, Tuncay ^a   Kaya, Ergün Barsi̧ ^a   Ateş, Ahmet Hakan ^c   Dural, Muhammed ^a   Gürses, Kadri Murat ^a   Sunman, Hamza ^a   Tokgözoǧlu, Lale ^a   Kabakci̧, Giray ^a   Oto, Ali ^a  

^a HACETTEPE UNIVERSITY   (Turkey)

^b ELBISTAN STATE HOSPITAL   (Turkey)

^c Sinop Ataturk State Hospital   (Turkey)

Author keywords

cardiovascular risk; coronary atherosclerotic plaque; multidetector computed tomography

Indexed keywords

ADULT; AGE; ANGIOCARDIOGRAPHY; ARTICLE; ATHEROSCLEROTIC PLAQUE; CARDIOVASCULAR RISK; CLINICAL ASSESSMENT TOOL; CORONARY ARTERY ATHEROSCLEROSIS; DIABETES MELLITUS; DYSLIPIDEMIA; FEMALE; FRAMINGHAM RISK SCORE; GENDER; HIGH RISK PATIENT; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; PRIORITY JOURNAL; RISK ASSESSMENT; RISK FACTOR; SEX DIFFERENCE; SMOKING HABIT; SYSTEMATIC CORONARY RISK EVALUATION SCORE; TURKEY (REPUBLIC);

AGED; CARDIOVASCULAR DISEASES; COHORT STUDIES; CORONARY ANGIOGRAPHY; CORONARY ARTERY DISEASE; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; MULTIDETECTOR COMPUTED TOMOGRAPHY; PLAQUE, ATHEROSCLEROTIC; PREVALENCE; RISK ASSESSMENT; RISK FACTORS; TURKEY;

EID: 84859631504     PISSN: 09546928     EISSN: 14735830     Source Type: Journal    
DOI: 10.1097/MCA.0b013e3283511608     Document Type: Article

References (20)

1. Greenland P, Knoll MD, Stamler J, Neaton JD, Dyer AR, Garside DB, et al. Major risk factors as antecedents of fatal and nonfatal coronary heart disease events. JAMA 2003; 290:891-897. (Pubitemid 37430460)
2. Hunink MG, Goldman L, Tosteson AN, Mittleman MA, Goldman PA, Williams LW, et al. The recent decline in mortality from coronary heart disease, 1980-1990: the effect of secular trends in risk factors and treatment. JAMA 1997; 277:535-542. (Pubitemid 27083982)
3. Magnus P, Beaglehole R. The real contribution of the major risk factors to the coronary epidemics: time to end the "only-50%" myth. Arch Intern Med 2001; 161:2657-2660. (Pubitemid 33134840)
4. Yusuf S, Reddy S, Ounpuu S, Anand S. Global burden of cardiovascular diseases. Part I General considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation 2001; 104:2746-2753.
5. Mowatt G, Cook JA, Hillis GS, Walker S, Fraser C, Jia X, et al. 64-Slice computed tomography angiography in the diagnosis and assessment of coronary artery disease: systematic review and meta-analysis. Heart 2008; 94:1386-1393.
6. Nikolaou K, Rist C,Wintersperger BJ, Jakobs TF, van Gessel R, Kirchin MA, et al. Clinical value of MDCT in the diagnosis of coronary artery disease in patients with a low pretest likelihood of significant disease. AJR Am J Roentgenol 2006; 186:1659-1668. (Pubitemid 46112530)
7. Report of the Expert Committee on the diagnosis and classification of diabetes mellitus. Diabetes Care 1997; 20:1183-1197.
8. Grundy SM, Pasternak R, Greenland P, Smith S Jr, Fuster V. AHA/ACC scientific statement: assessment of cardiovascular risk by use of multiplerisk- factor assessment equations: a statement for healthcare professionals from the American Heart Association and the American College of Cardiology. J Am Coll Cardiol 1999; 34:1348-1359. (Pubitemid 29500569)
9. Conroy RM, Pyorala K, Fitzgerald AP, Sans S, Menotti A, De Backer G, et al. Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project. Eur Heart J 2003; 24:987-1003. (Pubitemid 36712275)
10. Austen WG, Edwards JE, Frye RL, Gensini GG, Gott VL, Griffith LS, et al. A reporting system on patients evaluated for coronary artery disease: report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation 1975; 51 (4 Suppl):5-40.
11. Johnson KM, Dowe DA. The detection of any coronary calcium outperforms Framingham risk score as a first step in screening for coronary atherosclerosis. AJR Am J Roentgenol 2010; 194:1235-1243.
12. Nasir K, Michos ED, Blumenthal RS, Raggi P. Detection of high-risk young adults and women by coronary calcium and National Cholesterol Education Program Panel III guidelines. J Am Coll Cardiol 2005; 46:1931-1936. (Pubitemid 41579818)
13. Nieto FJ. Cardiovascular disease and risk factor epidemiology: a look back at the epidemic of the 20th century. Am J Public Health 1999; 89:292-294.
14. Mollet NR, Cademartiri F, Nieman K, Saia F, Lemos PA, McFadden EP, et al. Noninvasive assessment of coronary plaque burden using multislice computed tomography. Am J Cardiol 2005; 95:1165-1169. (Pubitemid 40616417)
15. Faletra FF, Klersy C, D'Angeli I, Penco M, Procaccini V, Pasotti E, et al. Relation between coronary atherosclerotic plaques and traditional risk factors in people with no history of cardiovascular disease undergoing multidetector computed coronary angiography. Heart 2009; 95:1265-1272.
16. Bamberg F, Dannemann N, Shapiro MD, Seneviratne SK, Ferencik M, Butler J, et al. Association between cardiovascular risk profiles and the presence and extent of different types of coronary atherosclerotic plaque as detected by multidetector computed tomography. Arterioscler Thromb Vasc Biol 2008; 28:568-574.
17. Rivera JJ, Nasir K, Cox PR, Choi EK, Yoon Y, Cho I, et al. Association of traditional cardiovascular risk factors with coronary plaque sub-types assessed by 64-slice computed tomography angiography in a large cohort of asymptomatic subjects. Atherosclerosis 2009; 206:451-457.
18. Pundziute G, Schuijf JD, Jukema JW, Decramer I, Sarno G, Vanhoenacker PK, et al. Head-to-head comparison of coronary plaque evaluation between multislice computed tomography and intravascular ultrasound radiofrequency data analysis. JACC Cardiovasc Interv 2008; 1:176-182. (Pubitemid 351506559)
19. Pundziute G, Schuijf JD, Jukema JW, Decramer I, Sarno G, Vanhoenacker PK, et al. Evaluation of plaque characteristics in acute coronary syndromes: non-invasive assessment with multi-slice computed tomography and invasive evaluation with intravascular ultrasound radiofrequency data analysis. Eur Heart J 2008; 29:2373-2381.
20. Nicholls SJ, Tuzcu EM, Wolski K, Sipahi I, Schoenhagen P, Crowe T, et al. Coronary artery calcification and changes in atheroma burden in response to established medical therapies. J Am Coll Cardiol 2007; 49:263-270. (Pubitemid 46054402)