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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | SARA, Leonardo | - |
dc.contributor.author | ROCHITTE, Carlos E. | - |
dc.contributor.author | LEMOS, Pedro A. | - |
dc.contributor.author | NIINUMA, Hiroyuki | - |
dc.contributor.author | DEWEY, Marc | - |
dc.contributor.author | SHAPIRO, Edward P. | - |
dc.contributor.author | GOTTLIEB, Ilan | - |
dc.contributor.author | MANSUR, Antonio P. | - |
dc.contributor.author | NICOLAU, Jose C. | - |
dc.contributor.author | LARDO, Albert C. | - |
dc.contributor.author | AZEVEDO, Clerio F. | - |
dc.contributor.author | KALIL-FILHO, Roberto | - |
dc.contributor.author | VAVERE, Andrea L. | - |
dc.contributor.author | COHN, Silvia | - |
dc.contributor.author | COX, Christopher | - |
dc.contributor.author | BRINKER, Jeffrey | - |
dc.contributor.author | MILLER, Julie M. | - |
dc.contributor.author | LIMA, Joao A. C. | - |
dc.date.accessioned | 2015-04-22T22:07:50Z | - |
dc.date.available | 2015-04-22T22:07:50Z | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | INTERNATIONAL JOURNAL OF CARDIOLOGY, v.177, n.2, p.385-391, 2014 | - |
dc.identifier.issn | 0167-5273 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/8941 | - |
dc.description.abstract | Background: Multi-detector computed tomography angiography (MDCTA) is a promising method for risk assessment of patients with acute chest pain. However, its diagnostic performance in higher-risk patients has not been investigated in a large international multicenter trial. Therefore, in the present study we sought to estimate the diagnostic accuracy of MDCTA to detect significant coronary stenosis in patients with acute coronary syndrome (ACS). Methods: Patients included in the CORE64 study were categorized as suspected-ACS or non-ACS based on clinical data. A 64-row coronary MDCTA was performed before invasive coronary angiography (ICA) and both exams were evaluated by blinded, independent core laboratories. Results: From 371 patients included, 94 were categorized as suspected ACS and 277 as non-ACS. Patient-based analysis showed an area under the receiver-operating-characteristic curve (AUC) for detecting >= 50% coronary stenosis of 0.95 (95% CI: 0.88-0.98) in ACS and 0.92 (95% CI: 0.88-0.95) in non-ACS group (P = 0.29). The sensitivity, specificity, positive and negative predictive values of MDCTA were 0.90(0.80-0.96), 0.88(0.70-0.98), 0.95(0.87-0.99) and 0.77(0.58-0.90) in suspected ACS patients and 0.87(0.81-0.92), 0.86(0.79-0.92), 0.91(0.85-0.95) and 0.82(0.74-0.89) in non-ACS patients (P NS for all comparisons). The mean calcium scores (CS) were 282 +/- 449 in suspected ACS and 435 +/- 668 in non-ACS group. The accuracy of CS to detect significant coronary stenosis was only moderate and the absence or minimal coronary artery calcification could not exclude the presence of significant coronary stenosis, particularly in ACS patients. Conclusions: The diagnostic accuracy of MDCTA to detect significant coronary stenosis is high and comparable for both ACS and non-ACS patients. | - |
dc.description.sponsorship | Toshiba Medical Systems Corporation | - |
dc.description.sponsorship | Doris Duke Charitable Foundation | - |
dc.description.sponsorship | National Heart, Lung, and Blood Institute [RO1-HL66075-01, HO1-HC95162-01] | - |
dc.description.sponsorship | National Institute on Aging [RO1-AG021570-01] | - |
dc.description.sponsorship | Donald W. Reynolds Foundation | - |
dc.language.iso | eng | - |
dc.publisher | ELSEVIER IRELAND LTD | - |
dc.relation.ispartof | International Journal of Cardiology | - |
dc.rights | restrictedAccess | - |
dc.subject | Acute coronary syndrome | - |
dc.subject | Tomography | - |
dc.subject | Angiography | - |
dc.subject | Multi-detector computed tomography angiography | - |
dc.subject.other | acute chest-pain | - |
dc.subject.other | elevation myocardial-infarction | - |
dc.subject.other | ct angiography | - |
dc.subject.other | diagnostic performance | - |
dc.subject.other | emergency-department | - |
dc.subject.other | cardiac ct | - |
dc.subject.other | metaanalysis | - |
dc.subject.other | 64-slice | - |
dc.subject.other | calcium | - |
dc.subject.other | association | - |
dc.title | Accuracy of multidetector computed tomography for detection of coronary artery stenosis in acute coronary syndrome compared with stable coronary disease: A CORE64 multicenter trial substudy | - |
dc.type | article | - |
dc.rights.holder | Copyright ELSEVIER IRELAND LTD | - |
dc.identifier.doi | 10.1016/j.ijcard.2014.08.130 | - |
dc.identifier.pmid | 25281436 | - |
dc.subject.wos | Cardiac & Cardiovascular Systems | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.author.external | SARA, Leonardo:Univ Sao Paulo, Sch Med, Inst Heart, InCor, BR-05403000 Sao Paulo, Brazil | - |
hcfmusp.author.external | NIINUMA, Hiroyuki:Iwate Med Univ, Morioka, Iwate 020, Japan | - |
hcfmusp.author.external | DEWEY, Marc:Humboldt Univ, Charite Med Sch, D-10099 Berlin, Germany; Free Univ Berlin, Berlin, Germany | - |
hcfmusp.author.external | SHAPIRO, Edward P.:Johns Hopkins Univ, Sch Med, Baltimore, MD USA | - |
hcfmusp.author.external | GOTTLIEB, Ilan:Johns Hopkins Univ, Sch Med, Baltimore, MD USA | - |
hcfmusp.author.external | LARDO, Albert C.:Johns Hopkins Univ, Sch Med, Baltimore, MD USA | - |
hcfmusp.author.external | AZEVEDO, Clerio F.:DOr Inst Res & Educ IDOR, Rio De Janeiro, Brazil | - |
hcfmusp.author.external | VAVERE, Andrea L.:Johns Hopkins Univ, Sch Med, Baltimore, MD USA | - |
hcfmusp.author.external | COHN, Silvia:Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA | - |
hcfmusp.author.external | COX, Christopher:Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA | - |
hcfmusp.author.external | BRINKER, Jeffrey:Johns Hopkins Univ, Sch Med, Baltimore, MD USA | - |
hcfmusp.author.external | MILLER, Julie M.:Johns Hopkins Univ, Sch Med, Baltimore, MD USA | - |
hcfmusp.author.external | LIMA, Joao A. C.:Johns Hopkins Univ, Sch Med, Baltimore, MD USA | - |
hcfmusp.description.beginpage | 385 | - |
hcfmusp.description.endpage | 391 | - |
hcfmusp.description.issue | 2 | - |
hcfmusp.description.volume | 177 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | 2-s2.0-84914121224 | - |
hcfmusp.origem.id | WOS:000345232200031 | - |
hcfmusp.publisher.city | CLARE | - |
hcfmusp.publisher.country | IRELAND | - |
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dc.description.index | MEDLINE | - |
dc.identifier.eissn | 1874-1754 | - |
hcfmusp.citation.scopus | 14 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MCP Artigos e Materiais de Revistas Científicas - HC/InCor Artigos e Materiais de Revistas Científicas - LIM/11 Artigos e Materiais de Revistas Científicas - ODS/03 |
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