1. Reporting of coronary artery calcification on chest CT studies in patients with interstitial lung disease.
- Author
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Patel, V., Patel, J., Gan, J., Rahiminejad, M., Preston, R., Mak, S.M., and Benedetti, G.
- Subjects
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CORONARY artery calcification , *INTERSTITIAL lung diseases , *COMPUTED tomography , *LUNGS , *ELECTRONIC health records , *CARDIAC patients - Abstract
To evaluate the prevalence of coronary artery calcification (CAC) on non-contrast computed tomography (CT) of the thorax in patients with interstitial lung disease (ILD), assess consistency of CAC reporting and assess incidence of subsequent cardiac events. Patients with known interstitial lung disease who underwent a CT thorax over a 2-year period were retrospectively reviewed. Presence of CAC was assessed using a visual scale for CAC reporting and graded as mild, moderate, or severe by two cardiothoracic radiologists. CT reports were reviewed to determine if presence of CAC had been described. Electronic medical records were reviewed for any subsequent cardiothoracic events from the date of the CT thorax to present. 254 patients were included in the analysis (54.7% men; mean age 59.9 yo). 43.7% had CAC on their CT thorax; however, in 87.3% of those, reports did not comment on its presence. 8 patients had cardiac events; 7 of them had CAC on CT although only in 1 case this was reported. Global CAC and LAD CAC Patients with cardiac events had a significantly higher global CAC (p=0.016) and LAD CAC (p=0.048) when compared to patients without. We demonstrated a high prevalence of CAC in ILD patients and its significant association with adverse cardiac events. Unfortunately, CAC on CT thorax is still largely unreported. As per recent BSCI/BSCCT and BSTI guidelines, reporting of CAC should become part of routine practice, as may prompt prevention and impact on patients outcome. • Coronary artery calcification is often unreported on CT thorax. • Visually detected coronary artery calcification on CT thorax is associated with future cardiovascular events. • Routine coronary artery calcification reporting on CT thorax in ILD patients may prevent adverse cardiac events. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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