MARC details
000 -LEADER |
fixed length control field |
02983nam a22003497a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
201229s20202020 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
0021-9150 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1016/j.atherosclerosis.2020.10.009 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S0021-9150(20)30572-4 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
33121743 |
245 ## - TITLE STATEMENT |
Title |
Prognostic value of coronary artery calcium score, area, and density among individuals on statin therapy vs. non-users: The coronary artery calcium consortium. |
251 ## - Source |
Source |
Atherosclerosis. 2020 Oct 10 |
252 ## - Abbreviated Source |
Abbreviated source |
Atherosclerosis. 2020 Oct 10 |
253 ## - Journal Name |
Journal name |
Atherosclerosis |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2020 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2021 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
266 ## - Date added to catalog |
Date added to catalog |
2020-12-29 |
520 ## - SUMMARY, ETC. |
Abstract |
BACKGROUND AND AIMS: Statins do not decrease coronary artery calcium (CAC) and may increase existing calcification or its density. Therefore, we examined the prognostic significance of CAC among statin users at the time of CAC scanning. |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSION: CAC scoring retains robust risk prediction in statin users, and the changing relationship of CAC density with outcomes may explain the slightly weaker relationship of CAC with outcomes in statin users. Copyright (c) 2020 Elsevier B.V. All rights reserved. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: We included 28,025 patients (6151 statin-users) aged 40-75 years from the CAC Consortium. Cox regression models were used to assess the association of CAC with coronary heart disease (CHD) and cardiovascular disease (CVD) mortality. Models were adjusted for traditional CVD risk factors. Additionally, we examined the predictive performance of CAC components including CAC area, volume, and density using an age- and sex-adjusted Cox regression model. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: Participants (mean age 53.9 +/- 10.3 years, 65.0% male) were followed for median 11.2 years. There were 395 CVD and 182 CHD deaths. One unit increase in log CAC score was associated with increased risk of CVD mortality (hazard ratio (HR), 1.2; 95% CI = 1.1-1.3) and CHD mortality (HR, 1.2; 95% CI = 1.1-1.4)) among statin users. There was a small but significant negative interaction between CAC score and statin use for the prediction of CHD (p-value = 0.036) and CVD mortality (p-value = 0.025). The volume score and CAC area were similarly associated with outcomes in statin users and non-users. Density was associated with CVD and CHD mortality in statin naive patients, but with neither in statin users. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
656 ## - INDEX TERM--OCCUPATION |
Department |
MedStar MedStar Union Memorial Hospital |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Osei, Albert D |
790 ## - Authors |
All authors |
Al Rifai M, Banach M, Berman D, Blaha MJ, Blumenthal RS, Budoff MJ, Dardari ZA, Dzaye O, Graham GN, Miedema MD, Mirbolouk M, Nasir K, Osei AD, Rozanski A, Rumberger JA, Shaw L |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.atherosclerosis.2020.10.009">https://dx.doi.org/10.1016/j.atherosclerosis.2020.10.009</a> |
Public note |
https://dx.doi.org/10.1016/j.atherosclerosis.2020.10.009 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |