Coronary Artery Disease, Plaque, Atherosclerotic
Conditions
Keywords
coronary artery disease, plaque burden, prognosis
Brief summary
Non-obstructive coronary artery disease (CAD), particularly common in women, has been associated with impaired quality of life and risk of recurrent hospitalizations. Several studies have also demonstrated increased risk of incident acute coronary events and mortality. The main objective of the project is to assess the association between coronary artery plaque features by coronary CT angiography and long term prognosis in a large unselected population undergoing CT coronary angiography due to stable angina and suspected myocardial ischemia from the Norwegian Registry for Invasive Cardiology (NORIC) diagnosed with non-obstructive CAD by coronary CT angiography.
Detailed description
Patients with stable angina and non-obstructive coronary artery disease by CT coronary angiography will be selected from the Norwegian Registry of Invasive Cardiology (NORIC). This is a national quality control registry run and controlled by the Norwegian Institute of Public Health (www.fhi.no). All CT coronary angiograms will be reanalyzed using advanced post-processing analysis software to assess coronary artery plaque burden, distribution and composition. Through linking with the Norwegian Cardiovascular Disease Registry and the Cause of Death Registry (www.fhi.no) we will be able to assess the association between long-term prognosis (5 years) and coronary artery plaque features.
Interventions
Assessment of segmental plaque volume and composition
Sponsors
Study design
Eligibility
Inclusion criteria
* Stable angina * Non-obstructive coronary artery disease by CT coronary angiography defined as \<50% stenosis (lumen diameter reduction)
Exclusion criteria
* Obstructive coronary artery disease * Unstable angina * Previous myocardial infarction, heart surgery or percutaneous coronary interventions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiovascular mortality and nonfatal acute myocardial infarction | 5 years | Composite of deaths caused by cardiovascular disease and nonfatal acute myocardial infarction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| All-cause mortality, hospitalization due to cardiovascular disease and revascularization procedures | 5 years | All-cause mortality, hospitalization due to cardiovascular disease and revascularization procedures |
Countries
Norway