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Single-centre cohort study of gender influence in coronary CT angiography in patients with a low to intermediate pretest probability of coronary heart disease

BackgroundIn ‘real-world’ patient populations undergoing coronary CT angiography (CCTA), it is unclear whether a correlation exists between gender, coronary artery calcium (CAC) score and subsequent referral for invasive coronary angiography and coronary revascularisation. We therefore investigated...

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Bibliographic Details
Published in:Open heart 2015-07, Vol.2 (1), p.e000233-e000233
Main Authors: Nørgaard, Kirsten Schou, Isaksen, Christin, Buhl, Jørgen Selmer, Kirk Johansen, Jane, Nielsen, Agnete Hedemann, Nørgaard, Aage, Urbonaviciene, Grazina, Lindholt, Jes S, Frost, Lars
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Language:English
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Summary:BackgroundIn ‘real-world’ patient populations undergoing coronary CT angiography (CCTA), it is unclear whether a correlation exists between gender, coronary artery calcium (CAC) score and subsequent referral for invasive coronary angiography and coronary revascularisation. We therefore investigated the relationship between gender, CAC and use of subsequent invasive coronary angiography and coronary revascularisation in a cohort of patients with chest discomfort and low to intermediate pretest probability of coronary artery disease who underwent a CCTA at our diagnostic centre.MethodsThis is a cohort study that included patients examined between 2010 and 2013. Data were obtained from the Western Denmark Heart Registry. The follow-up ended 11 March 2014.ResultsA total of 3541 people (1621 men and 1920 women) were examined by CCTA. The rate of invasive coronary angiography during follow-up was 28.5% in men versus 18.3% in women (p
ISSN:2053-3624
2053-3624
DOI:10.1136/openhrt-2014-000233