Bridging Diagnosis and Prevention: The Impact of CCTA on CAD Risk Management - A Retrospective Single-Center Study

Adil I Jumani1, Ghada A Rashwan1, Hadiza O Ibrahim1

  • 1Internal Medicine Department, Zayed Military Hospital, Abu Dhabi, United Arab Emirates.

Insights

Coronary computed tomographic angiography (CCTA) effectively diagnoses coronary artery disease (CAD) in stable chest pain patients. This non-invasive tool aids management and preventive strategies, showing high negative predictive value.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Diagnostic Techniques

Background:

  • Chest pain is a frequent hospital presentation.
  • Coronary computed tomographic angiography (CCTA) provides accurate, non-invasive diagnosis of coronary artery disease (CAD).
  • CCTA is particularly useful for patients with low to intermediate pre-test probability of CAD.

Purpose of the Study:

  • To evaluate the clinical utility of CCTA for diagnosing CAD in patients with stable chest pain.
  • To assess CCTA's impact on patient management and preventive strategies at Zayed Military Hospital.

Main Methods:

  • Retrospective review of 417 patients who underwent CCTA from January to December 2024.
  • Analysis of demographics, calcium scores, CAD findings, comorbidities, and subsequent management.
  • Evaluation included invasive coronary angiography and pharmacological interventions.

Main Results:

  • 77% of patients had normal coronary arteries; 23% showed CAD.
  • A zero-calcium score was observed in 66% of patients.
  • Hypertension and diabetes correlated with increased CAD severity; statins were widely prescribed.

Conclusions:

  • CCTA is a valuable first-line diagnostic tool for stable chest pain.
  • The test demonstrates high negative predictive value for CAD.
  • CCTA facilitates targeted preventive strategies for coronary artery disease.
Abstract

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