Atherosclerosis, Cardiovascular Diseases, Coronary Artery Disease
Conditions
Brief summary
Disruption of an atherosclerotic plaque is responsible for at least two-thirds of acute coronary syndrome. Thus, identification of plaques vulnerable to rupture has become important. The natural history of individual plaques is unknown and needs to be established. Multidetector computed tomography (MDCT) angiography is a useful noninvasive imaging modality for assessing coronary plaque characteristics. Using MDCT, the researchers prospectively investigate the relationship between the characterization of coronary plaques and cardiovascular events in a large multicenter study.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with known or suspected coronary artery disease.
Exclusion criteria
* irregular heart beat, * known allergy towards the contrast agent, * renal dysfunction, * uncontrolled heart failure, * previous coronary bypass surgery, or pacemaker or ICD implantation, ST elevation MI or unstable hemodynamic condition, * impossible breath-hold, OR * end-stage cancer.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Major cardiac events (Cardiac death and acute coronary syndrome) | 2 years after the CT-scan |
| All-cause death | 2 years after the CT-scan |
Secondary
| Measure | Time frame |
|---|---|
| All coronary events (Cardiac death, non-fatal MI, unstable angina requiring hospitalization, late coronary revascularizations) | 2 years after CT-scan |
| All cardiovascular events (Death, acute coronary syndrome, heart failure, cerebral disease, peripheral artery disease, aortic disease, and renal failure) | 2 years after the CT-scan |
Other
| Measure | Time frame |
|---|---|
| Coronary plaque progression and managements for serum cholesterol, blood glucose, renal function and blood pressure: Especially impacts of statin on the changes in coronary plaque characteristics | 2 years after CT |
Countries
Japan