Accès ouvert déclaré 2022 erratum

Correction to: Computed tomography angiography versus Agatston score for diagnosis of coronary artery disease in patients with stable chest pain: individual patient data meta-analysis of the international COME-CCT Consortium

Viktoria Wieske, Mario Walther, B. Dubourg, Hatem Alkadhi, Bjarne Linde Nørgaard, Matthijs F.L. Meijs, Axel Cosmus Pyndt Diederichsen, Yung‐Liang Wan, Hans Mickley, Konstantin Nikolaou, Abbas Arjmand Shabestari, Bjørn Arild Halvorsen, Eugenio Martuscelli, Kai Sun, Bernhard A. Herzog, Roy P. Marcus, Sebastian Leschka, Mario Jorge Garcia, Kristian Altern Øvrehus, Juhani M. Knuuti, Vladymir Mendoza-Rodriguez, Nuno Bettencourt, Simone Muraglia, Ronny R. Buechel, Philipp Antonio Kaufmann, Elke Zimmermann, Jean‐Claude Tardif, Matthew Jay Budoff, Peter Schlattmann, Marc Dewey

0Citations signalées, ce qui n’est pas une note de qualité

24Institutions déclarées

14Pays d’affiliation déclarés

Rattachement africain : de, fr, ch, dk, nl, tw, ir, no, it, cn, us, fi, pt, ca. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

Objectives There is conflicting evidence about the comparative diagnostic accuracy of the Agatston score versus computed tomography angiography (CTA) in patients with suspected obstructive coronary artery disease (CAD).Purpose To determine whether CTA is superior to the Agatston score in the diagnosis of CAD.Methods In total 2452 patients with stable chest pain and a clinical indication for invasive coronary angiography (ICA) for suspected CAD were included by the Collaborative Meta-analysis of Cardiac CT (COME-CCT) Consortium.An Agatston score of > 400 was considered positive, and obstructive CAD defined as at least 50% coronary diameter stenosis on ICA was used as the reference standard.Results Obstructive CAD was diagnosed in 44.9% of patients (1100/2452).The median Agatston score was 74.Diagnostic accuracy of CTA for the detection of obstructive CAD (81.1%, 95% confidence interval [CI]: 77.5 to 84.1%) was significantly higher than that of the Agatston score (68.8%, 95% CI: 64.2 to 73.1%, p < 0.001).Among patients with an Agatston score of zero, 17% (101/600) had obstructive CAD.Diagnostic accuracy of CTA was not significantly different in patients with low to intermediate (1 to < 100, 100-400) versus moderate to high Agatston scores (401-1000, > 1000).Conclusions Results in our international cohort show CTA to have significantly higher diagnostic accuracy than the Agatston score in patients with stable chest pain, suspected CAD, and a clinical indication for ICA.Diagnostic performance of CTA is not affected by a higher Agatston score while an Agatston score of zero does not reliably exclude obstructive CAD. Key Points• CTA showed significantly higher diagnostic accuracy (81.1%, 95% confidence interval [CI]: 77.5 to 84.1%) for diagnosis of coronary artery disease when compared to the Agatston score (68.8%, 95% CI: 64.2 to 73.1%, p < 0.001).• Diagnostic performance of CTA was not affected by increased amount of calcium and was not significantly different in patients with low to intermediate (1 to <100, 100-400) versus moderate to high Agatston scores (401-1000, > 1000).• Seventeen percent of patients with an Agatston score of zero showed obstructive coronary artery disease by invasive angiography showing absence of coronary artery calcium cannot reliably exclude coronary artery disease.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.

Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref: Correction to: Computed tomography angiography versus Agatston score for diagnosis of coronary artery disease in patients with stable chest pain: individual patient data meta-analysis of the international COME-CCT Consortium
Date Crossref: 25/04/2022
Éditeur: Springer Science and Business Media LLC
Type: journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Où se fait cette recherche

Charité - Universitätsmedizin Berlin pays non établi dans la notice
Établissement de santé
Ernst Abbe University of Applied Sciences Jena pays non établi dans la notice
Université ou école supérieure
Université de Rouen Normandie pays non établi dans la notice
Université ou école supérieure
University Hospital Zurich Institute of Diagnostic and Interventional Radiology pays non établi dans la notice
Établissement de santé
Aarhus University Hospital Department of Cardiology pays non établi dans la notice
Établissement de santé
University Medical Center Utrecht pays non établi dans la notice
Établissement de santé
Odense University Hospital Department of Cardiology pays non établi dans la notice
Organisme public
Chang Gung University pays non établi dans la notice
Université ou école supérieure
Linkou Chang Gung Memorial Hospital pays non établi dans la notice
Établissement de santé
Shahid Beheshti University of Medical Sciences Modarres Hospital pays non établi dans la notice
Université ou école supérieure
Østfold Hospital Trust pays non établi dans la notice
Établissement de santé
University of Rome Tor Vergata Department of Internal Medicine pays non établi dans la notice
Université ou école supérieure

Charité - Universitätsmedizin Berlin, Ernst Abbe University of Applied Sciences Jena et Université de Rouen Normandie, avec 9 autres affiliations.

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

Cardiac Imaging and Diagnostics

Lire en accès ouvert Consulter la publication primaire Ouvrir le DOI