Affiliation:
1. Shri Nathiba Hargovandas Lakhmichand Municipal Medical College, Ahmedabad 380006, India
Abstract
Introduction: Coronary artery disease has become a global pandemic and a major cause of death. The risk-factor calculation for coronary artery damage is an invasive procedure. Aim: To compare coronary computed tomography angiography (CCTA) with standard of care (SOC) to calculate need for revascularization, invasive coronary angiography as well as for myocardial infarction (MI) incidence and all-cause mortality. Methodology, results & conclusion: CCTA is significantly correlated with a reduction in MI episodes (RR = 0.752, 95% CI = 0.578–1.409; p < 0.033) and an increase in revascularizations (RR = 1.401, 95% CI = 1.315–1.492; p < 0.001) and invasive coronary angiography procedures (RR = 1.304, 95% CI = 1.208–1.409; p < 0.001). However, it was found that it did not affect all-cause mortality. On the contrary, standard care approaches were associated with greater rates of MI but lesser referrals for invasive coronary angiography and revascularization.
Subject
Cardiology and Cardiovascular Medicine,Molecular Medicine