More Is more

Younger, John F. (2013) More Is more. Journal of the American College of Cardiology, 62 5: 477-479. doi:10.1016/j.jacc.2013.05.014

Author Younger, John F.
Title More Is more
Journal name Journal of the American College of Cardiology   Check publisher's open access policy
ISSN 0735-1097
Publication date 2013-07-30
Sub-type Editorial
DOI 10.1016/j.jacc.2013.05.014
Volume 62
Issue 5
Start page 477
End page 479
Total pages 3
Place of publication United States
Publisher Elsevier
Collection year 2014
Language eng
Formatted abstract
In this issue of the Journal, 2 papers address an important question: how can we use computed tomographic coronary angiography (CTCA) to quantify prognosis and stenosis in patients with coronary artery disease? Simple coronary calcium scoring (CCS), using a technique proposed by Agatston et al.  more than 2 decades ago provides a straightforward numerical result that predicts coronary heart disease events and mortality in both historical and contemporary cohorts. Compared to CCS, CTCA offers higher spatial resolution plus the ability to identify both coronary stenosis and plaque composition. This additional information ought to contribute to risk prediction. What has been lacking is an easy method to turn the CTCA data on plaque extent, location, and severity into an accurate prognostic assessment for an individual patient. This would be important not only in providing incremental prognostic information beyond CCS but also to those patients with chest pain who undergo CTCA without CCS...
Keyword Coronary artery disease
Coronary CT angiography
Computed tomographic angiography
Fractional flow reserve
All-cause mortality
International multicenter registry
Prognostic value
Diagnostic performance
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Editorial
Collections: Non HERDC
School of Medicine Publications
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Created: Sun, 18 Aug 2013, 00:03:17 EST by System User on behalf of Medicine - Royal Brisbane and Women's Hospital