Evaluation of framingham and systematic coronary risk evaluation scores by coronary computed tomographic angiography in asymptomatic adults.

摘要: Recently, coronary computed tomographic angiography (CCTA) was introduced as a tool for the early detection of atherosclerosis. However, disagreement exists regarding accuracy CCTA prediction future cardiovascular risk compared to conventional clinical risks scores (e.g., Framingham and Systematic Coronary Risk Evaluation [SCORE] scores). The aim present study compare these 2 methods in asymptomatic Israeli subjects. performed 190 patients with ≥1 atherogenic factor primary screening presence disease. calcium score (CS) measured subjects part CCTA. In addition, SCORE were calculated, statistical analysis using regression models performed. included (84% men). mean age 55 ± 9.7 years. A significant correlation CS plaque severity detected by found when comparing factors calculated scores. calculation >2 versus 100 (42.9% vs 21.9; odds ratio [OR] 2.68, p = 0.001). When high-risk (>4) low-risk ( 20) (53.3% 28.6%; OR 3.18, related greater (79.2% 59.4%, respectively; 2.6, also (93.3% 59%, variables best predicting artery stenosis age, gender, diabetes, hypertension. conclusion, results indicate that those obtained are good predictors use seems important identifying at atherosclerosis treating them properly before development symptoms help prevent unnecessary invasive procedures.