Longitudinal assessment of coronary plaque volume change related to glycemic status using serial coronary computed tomography angiography: A PARADIGM (Progression of AtheRosclerotic PlAque DetermIned by Computed TomoGraphic Angiography Imaging) substudy
Data on the impact of glycemic status on coronary plaque progression have been limited. This study evaluated the association between glycemic status and coronary plaque volume change (PVC) using coronary computed tomography angiography (CCTA). A total of 1296 subjects (61 ± 9, 56.9% male) who underw...
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| Published in | Journal of cardiovascular computed tomography Vol. 13; no. 2; pp. 142 - 147 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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Elsevier Inc
01.03.2019
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| Abstract | Data on the impact of glycemic status on coronary plaque progression have been limited. This study evaluated the association between glycemic status and coronary plaque volume change (PVC) using coronary computed tomography angiography (CCTA).
A total of 1296 subjects (61 ± 9, 56.9% male) who underwent serial CCTA with available glycemic status were enrolled and analyzed from the Progression of AtheRosclerotic PlAque DetermIned by Computed TomoGraphic Angiography IMaging (PARADIGM) registry. The median inter-scan period was 3.2 (2.6–4.4) years. Quantitative assessment of coronary plaques was performed at both scans. All participants were categorized into the following groups according to glycemic status: normal, pre-diabetes (pre-DM), and diabetes mellitus (DM).
During the follow-up, significant differences in PVC (normal: 51.3 ± 83.3 mm3 vs. pre-DM: 51.0 ± 84.3 mm3 vs. DM: 72.6 ± 95.0 mm3; p < 0.001) and annualized PVC (normal: 14.9 ± 24.9 mm3 vs. pre-DM: 15.7 ± 23.8 mm3 vs. DM: 21.0 ± 27.7 mm3; p = 0.001) were observed among the 3 groups. Compared with normal individuals, individuals with pre-DM showed no significant differences in the adjusted odds ratio (OR) for plaque progression (PP) (1.338, 95% confidence interval [CI] 0.967–1.853; p = 0.079). However, the adjusted OR for PP was higher in DM individuals than in normal individuals (1.635, 95% CI 1.126–2.375; p = 0.010).
DM had an incremental impact on coronary PP, but pre-DM appeared to have no significant association with an increased risk of coronary PP after adjusting for confounding factors.
ClinicalTrials.govNCT02803411. |
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| AbstractList | Data on the impact of glycemic status on coronary plaque progression have been limited. This study evaluated the association between glycemic status and coronary plaque volume change (PVC) using coronary computed tomography angiography (CCTA).
A total of 1296 subjects (61 ± 9, 56.9% male) who underwent serial CCTA with available glycemic status were enrolled and analyzed from the Progression of AtheRosclerotic PlAque DetermIned by Computed TomoGraphic Angiography IMaging (PARADIGM) registry. The median inter-scan period was 3.2 (2.6–4.4) years. Quantitative assessment of coronary plaques was performed at both scans. All participants were categorized into the following groups according to glycemic status: normal, pre-diabetes (pre-DM), and diabetes mellitus (DM).
During the follow-up, significant differences in PVC (normal: 51.3 ± 83.3 mm3 vs. pre-DM: 51.0 ± 84.3 mm3 vs. DM: 72.6 ± 95.0 mm3; p < 0.001) and annualized PVC (normal: 14.9 ± 24.9 mm3 vs. pre-DM: 15.7 ± 23.8 mm3 vs. DM: 21.0 ± 27.7 mm3; p = 0.001) were observed among the 3 groups. Compared with normal individuals, individuals with pre-DM showed no significant differences in the adjusted odds ratio (OR) for plaque progression (PP) (1.338, 95% confidence interval [CI] 0.967–1.853; p = 0.079). However, the adjusted OR for PP was higher in DM individuals than in normal individuals (1.635, 95% CI 1.126–2.375; p = 0.010).
DM had an incremental impact on coronary PP, but pre-DM appeared to have no significant association with an increased risk of coronary PP after adjusting for confounding factors.
ClinicalTrials.govNCT02803411. Data on the impact of glycemic status on coronary plaque progression have been limited. This study evaluated the association between glycemic status and coronary plaque volume change (PVC) using coronary computed tomography angiography (CCTA). A total of 1296 subjects (61 ± 9, 56.9% male) who underwent serial CCTA with available glycemic status were enrolled and analyzed from the Progression of AtheRosclerotic PlAque DetermIned by Computed TomoGraphic Angiography IMaging (PARADIGM) registry. The median inter-scan period was 3.2 (2.6-4.4) years. Quantitative assessment of coronary plaques was performed at both scans. All participants were categorized into the following groups according to glycemic status: normal, pre-diabetes (pre-DM), and diabetes mellitus (DM). During the follow-up, significant differences in PVC (normal: 51.3 ± 83.3 mm vs. pre-DM: 51.0 ± 84.3 mm vs. DM: 72.6 ± 95.0 mm ; p < 0.001) and annualized PVC (normal: 14.9 ± 24.9 mm vs. pre-DM: 15.7 ± 23.8 mm vs. DM: 21.0 ± 27.7 mm ; p = 0.001) were observed among the 3 groups. Compared with normal individuals, individuals with pre-DM showed no significant differences in the adjusted odds ratio (OR) for plaque progression (PP) (1.338, 95% confidence interval [CI] 0.967-1.853; p = 0.079). However, the adjusted OR for PP was higher in DM individuals than in normal individuals (1.635, 95% CI 1.126-2.375; p = 0.010). DM had an incremental impact on coronary PP, but pre-DM appeared to have no significant association with an increased risk of coronary PP after adjusting for confounding factors. ClinicalTrials.govNCT02803411. BACKGROUNDData on the impact of glycemic status on coronary plaque progression have been limited. This study evaluated the association between glycemic status and coronary plaque volume change (PVC) using coronary computed tomography angiography (CCTA).METHODSA total of 1296 subjects (61 ± 9, 56.9% male) who underwent serial CCTA with available glycemic status were enrolled and analyzed from the Progression of AtheRosclerotic PlAque DetermIned by Computed TomoGraphic Angiography IMaging (PARADIGM) registry. The median inter-scan period was 3.2 (2.6-4.4) years. Quantitative assessment of coronary plaques was performed at both scans. All participants were categorized into the following groups according to glycemic status: normal, pre-diabetes (pre-DM), and diabetes mellitus (DM).RESULTSDuring the follow-up, significant differences in PVC (normal: 51.3 ± 83.3 mm3 vs. pre-DM: 51.0 ± 84.3 mm3 vs. DM: 72.6 ± 95.0 mm3; p < 0.001) and annualized PVC (normal: 14.9 ± 24.9 mm3 vs. pre-DM: 15.7 ± 23.8 mm3 vs. DM: 21.0 ± 27.7 mm3; p = 0.001) were observed among the 3 groups. Compared with normal individuals, individuals with pre-DM showed no significant differences in the adjusted odds ratio (OR) for plaque progression (PP) (1.338, 95% confidence interval [CI] 0.967-1.853; p = 0.079). However, the adjusted OR for PP was higher in DM individuals than in normal individuals (1.635, 95% CI 1.126-2.375; p = 0.010).CONCLUSIONDM had an incremental impact on coronary PP, but pre-DM appeared to have no significant association with an increased risk of coronary PP after adjusting for confounding factors.CLINICAL TRIAL REGISTRATIONClinicalTrials.govNCT02803411. |
| Author | Lee, Sang-Eun Raff, Gilbert L. Chun, Eun Ju Virmani, Renu Narula, Jagat Andreini, Daniele Stone, Peter H. Rizvi, Asim Berman, Daniel S. Lin, Fay Y. Conte, Edoardo Heo, Ran Hadamitzky, Martin Shin, Sanghoon Cademartiri, Filippo Shaw, Leslee J. Choi, Jung Hyun Marques, Hugo Lee, Byoung Kwon Chang, Hyuk-Jae Min, James K. Kim, Yong-Jin Maffei, Erica Sung, Ji Min Samady, Habib Bax, Jeroen J. Gottlieb, Ilan Chinnaiyan, Kavitha Leipsic, Jonathon A. Won, Ki-Bum Pontone, Gianluca Kumar, Amit Budoff, Matthew J. Park, Hyung-Bok |
| Author_xml | – sequence: 1 givenname: Ki-Bum orcidid: 0000-0001-5502-9933 surname: Won fullname: Won, Ki-Bum organization: Department of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea – sequence: 2 givenname: Sang-Eun surname: Lee fullname: Lee, Sang-Eun organization: Department of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea – sequence: 3 givenname: Byoung Kwon surname: Lee fullname: Lee, Byoung Kwon organization: Department of Cardiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea – sequence: 4 givenname: Hyung-Bok surname: Park fullname: Park, Hyung-Bok organization: Yonsei-Cedars-Sinai Integrative Cardiovascular Imaging Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea – sequence: 5 givenname: Ran surname: Heo fullname: Heo, Ran organization: Yonsei-Cedars-Sinai Integrative Cardiovascular Imaging Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea – sequence: 6 givenname: Asim surname: Rizvi fullname: Rizvi, Asim organization: Department of Radiology, New York-Presbyterian Hospital and Weill Cornell Medical College, New York, NY, USA – sequence: 7 givenname: Fay Y. surname: Lin fullname: Lin, Fay Y. organization: Department of Radiology, New York-Presbyterian Hospital and Weill Cornell Medical College, New York, NY, USA – sequence: 8 givenname: Amit surname: Kumar fullname: Kumar, Amit organization: Department of Radiology, New York-Presbyterian Hospital and Weill Cornell Medical College, New York, NY, USA – sequence: 9 givenname: Martin surname: Hadamitzky fullname: Hadamitzky, Martin organization: Department of Radiology and Nuclear Medicine, German Heart Center Munich, Munich, Germany – sequence: 10 givenname: Yong-Jin surname: Kim fullname: Kim, Yong-Jin organization: Seoul National University Hospital, Seoul, South Korea – sequence: 11 givenname: Ji Min surname: Sung fullname: Sung, Ji Min organization: Department of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea – sequence: 12 givenname: Edoardo surname: Conte fullname: Conte, Edoardo organization: Centro Cardiologico Monzino, IRCCS, Milan, Italy – sequence: 13 givenname: Daniele surname: Andreini fullname: Andreini, Daniele organization: Centro Cardiologico Monzino, IRCCS, Milan, Italy – sequence: 14 givenname: Gianluca surname: Pontone fullname: Pontone, Gianluca organization: Centro Cardiologico Monzino, IRCCS, Milan, Italy – sequence: 15 givenname: Matthew J. orcidid: 0000-0002-9616-1946 surname: Budoff fullname: Budoff, Matthew J. organization: Department of Medicine, Los Angeles Biomedical Research Institute, Torrance, CA, USA – sequence: 16 givenname: Ilan orcidid: 0000-0003-0402-5769 surname: Gottlieb fullname: Gottlieb, Ilan organization: Department of Radiology, Casa de Saude São Jose, Rio de Janeiro, Brazil – sequence: 17 givenname: Eun Ju orcidid: 0000-0002-1041-8035 surname: Chun fullname: Chun, Eun Ju organization: Department of Radiology, Seoul National University Bundang Hospital, Sungnam, South Korea – sequence: 18 givenname: Filippo orcidid: 0000-0002-0579-3279 surname: Cademartiri fullname: Cademartiri, Filippo organization: Cardiovascular Imaging Center, SDN IRCCS, Naples, Italy – sequence: 19 givenname: Erica surname: Maffei fullname: Maffei, Erica organization: Department of Radiology, Area Vasta 1/ASUR Marche, Urbino, Italy – sequence: 20 givenname: Hugo surname: Marques fullname: Marques, Hugo organization: UNICA, Unit of Cardiovascular Imaging, Hospital da Luz, Lisboa, Portugal – sequence: 21 givenname: Jonathon A. surname: Leipsic fullname: Leipsic, Jonathon A. organization: Department of Medicine and Radiology, University of British Columbia, Vancouver, BC, Canada – sequence: 22 givenname: Sanghoon surname: Shin fullname: Shin, Sanghoon organization: Department of Cardiology, National Health Insurance Service Ilsan Hospital, South Korea – sequence: 23 givenname: Jung Hyun surname: Choi fullname: Choi, Jung Hyun organization: Department of Cardiology, Busan University Hospital, Busan, South Korea – sequence: 24 givenname: Renu surname: Virmani fullname: Virmani, Renu organization: Department of Pathology, CVPath Institute, Gaithersburg, MD, USA – sequence: 25 givenname: Habib surname: Samady fullname: Samady, Habib organization: Department of Cardiology, Emory University School of Medicine, Atlanta, GA, USA – sequence: 26 givenname: Kavitha surname: Chinnaiyan fullname: Chinnaiyan, Kavitha organization: Department of Cardiology, William Beaumont Hospital, Royal Oak, MI, USA – sequence: 27 givenname: Gilbert L. surname: Raff fullname: Raff, Gilbert L. organization: Department of Cardiology, William Beaumont Hospital, Royal Oak, MI, USA – sequence: 28 givenname: Peter H. surname: Stone fullname: Stone, Peter H. organization: Department of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA – sequence: 29 givenname: Daniel S. surname: Berman fullname: Berman, Daniel S. organization: Department of Imaging and Medicine, Cedars Sinai Medical Center, Los Angeles, CA, USA – sequence: 30 givenname: Jagat surname: Narula fullname: Narula, Jagat organization: Icahn School of Medicine at Mount Sinai, Mount Sinai Heart, Zena and Michael A. Wiener Cardiovascular Institute, And Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, New York, NY, USA – sequence: 31 givenname: Leslee J. surname: Shaw fullname: Shaw, Leslee J. organization: Department of Radiology, New York-Presbyterian Hospital and Weill Cornell Medical College, New York, NY, USA – sequence: 32 givenname: Jeroen J. surname: Bax fullname: Bax, Jeroen J. organization: Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands – sequence: 33 givenname: James K. surname: Min fullname: Min, James K. organization: Department of Radiology, New York-Presbyterian Hospital and Weill Cornell Medical College, New York, NY, USA – sequence: 34 givenname: Hyuk-Jae surname: Chang fullname: Chang, Hyuk-Jae email: hjchang@yuhs.ac organization: Department of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea |
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| Keywords | Coronary atherosclerosis Coronary computed tomography angiography Pre-diabetes |
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