Evidence map›Paper›PMID 39274418›Full record

ReviewJournal of clinical medicine2024

Comparative Prognostic Value of Coronary Calcium Score and Perivascular Fat Attenuation Index in Coronary Artery Disease.

Maria Teresa Savo, Morena De Amicis, Dan Alexandru Cozac, Gabriele Cordoni, Simone Corradin, Elena Cozza, Filippo Amato, Eleonora Lassandro, Stefano Da Pozzo, Donatella Tansella and 6 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Maria Teresa SavoCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.
Morena De AmicisCardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.ORCID 0009-0001-4367-2865
Dan Alexandru CozacEmergency Institute for Cardiovascular Diseases and Transplantation of Targu Mures, 540136 Targu Mures, Romania.ORCID 0000-0002-9390-7263
Gabriele CordoniCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.ORCID 0009-0008-5192-6280
Simone CorradinRadiology Unit, Azienda Ospedale-Università Padova, 35121 Padova, Italy.
Elena CozzaCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.
Filippo AmatoCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.
Eleonora LassandroCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.
Stefano Da PozzoRadiology Unit, Azienda Ospedale-Università Padova, 35121 Padova, Italy.
Donatella TansellaCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.ORCID 0009-0005-9684-6426
Diana Di PaolantonioCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.
Maria Maddalena BaroniCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.
Antonio Di StefanoCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.
Giorgio De ContiRadiology Unit, Azienda Ospedale-Università Padova, 35121 Padova, Italy.ORCID 0000-0002-9604-4686
Raffaella MottaCardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.ORCID 0000-0002-1886-9826
Valeria PergolaCardiology Unit, Cardio-thoraco-vascular and Public Health Department, Padova University Hospital, 35121 Padova, Italy.ORCID 0000-0002-3317-7342

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary artery disease (CAD) is the leading global cause of mortality, accounting for approximately 30% of all deaths. It is primarily characterized by the accumulation of atherosclerotic plaques within the coronary arteries, leading to reduced blood flow to the heart muscle. Early detection of atherosclerotic plaques is crucial to prevent major adverse cardiac events. Notably, recent studies have shown that 15% of myocardial infarctions occur in patients with non-obstructive CAD, underscoring the importance of comprehensive plaque assessment beyond merely identifying obstructive lesions. Cardiac Computed Tomography Angiography (CCTA) has emerged as a cost-effective and efficient technique for excluding obstructive CAD, particularly in patients with a low-to-intermediate clinical likelihood of the disease. Recent advancements in CCTA technology, such as improved resolution and reduced scan times, have mitigated many technical challenges, allowing for precise quantification and characterization of both calcified and non-calcified atherosclerotic plaques. This review focuses on two critical physiological aspects of atherosclerotic plaques: the burden of calcifications, assessed via the coronary artery calcium score (CACs), and perivascular fat attenuation index (pFAI), an emerging marker of vascular inflammation. The CACs, obtained through non-contrast CT scans, quantifies calcified plaque burden and is widely used to stratify cardiovascular risk, particularly in asymptomatic patients. Despite its prognostic value, the CACs does not provide information on non-calcified plaques or inflammatory status. In contrast, the pFAI, derived from CCTA, serves as an indirect marker of coronary inflammation and has shown potential in predicting adverse cardiac events. Combining both CACs and pFAI assessment could offer a comprehensive risk stratification approach, integrating the established calcification burden with novel inflammatory markers to enhance CAD prevention and management strategies.

Indexed as

cardiac computed tomography angiographycoronary artery calciumcoronary artery diseaseperivascular fat attenuation indexprimary prevention

Identifiers

PMID39274418
PMCPMC11395785

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.