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OP4 Temporal changes in coronary 18f-fluoride plaque uptake in patients with coronary atherosclerosis 冠状动脉粥样硬化患者冠状动脉18f-氟化物斑块摄取的时间变化
Pub Date : 2022-09-01 DOI: 10.1136/heartjnl-2022-bsci.4
M. Daghem, P. Adamson, Kang-Ling Wang, M. Doris, R. Bing, E. V. Beek, Laura Forsyth, M. Williams, P. Slomka, M. Dweck, D. Newby, A. Moss
spectrum remodelling
光谱改造
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引用次数: 0
OP1 A novel coronary computed tomography angiography deep-learning methodology for coronary atheroma assessment trained using near-infrared spectroscopy-intravascular ultrasound 一种新的冠状动脉计算机断层血管造影深度学习方法,用于冠状动脉粥样硬化评估,使用近红外光谱-血管内超声训练
Pub Date : 2022-09-01 DOI: 10.1136/heartjnl-2022-bsci.1
A. Ramasamy, Hessam Sokooti, Xiaotong Zhang, E. Tzorovili, Retesh Bajaj, P. Kitslaar, A. Broersen, R. Amersey, A. Jain, M. Ozkor, J. Reiber, J. Dijkstra, P. Serruys, R. Torii, J. Moon, A. Mathur, A. Baumbach, F. Pugliese, C. Bourantas
{"title":"OP1 A novel coronary computed tomography angiography deep-learning methodology for coronary atheroma assessment trained using near-infrared spectroscopy-intravascular ultrasound","authors":"A. Ramasamy, Hessam Sokooti, Xiaotong Zhang, E. Tzorovili, Retesh Bajaj, P. Kitslaar, A. Broersen, R. Amersey, A. Jain, M. Ozkor, J. Reiber, J. Dijkstra, P. Serruys, R. Torii, J. Moon, A. Mathur, A. Baumbach, F. Pugliese, C. Bourantas","doi":"10.1136/heartjnl-2022-bsci.1","DOIUrl":"https://doi.org/10.1136/heartjnl-2022-bsci.1","url":null,"abstract":"","PeriodicalId":117644,"journal":{"name":"Scientific oral presentations","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116052930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
OP2 A randomised double-blind placebo-controlled study of fenofibrate as a metabolic modulator to augment cardiac physiology in moderate-severe aortic stenosis 非诺贝特作为代谢调节剂增强中重度主动脉瓣狭窄患者心脏生理的一项随机双盲安慰剂对照研究
Pub Date : 2022-09-01 DOI: 10.1136/heartjnl-2022-bsci.2
S. Monga, L. Valkovič, S. Myerson, S. Neubauer, M. Mahmod, O. Rider
{"title":"OP2 A randomised double-blind placebo-controlled study of fenofibrate as a metabolic modulator to augment cardiac physiology in moderate-severe aortic stenosis","authors":"S. Monga, L. Valkovič, S. Myerson, S. Neubauer, M. Mahmod, O. Rider","doi":"10.1136/heartjnl-2022-bsci.2","DOIUrl":"https://doi.org/10.1136/heartjnl-2022-bsci.2","url":null,"abstract":"","PeriodicalId":117644,"journal":{"name":"Scientific oral presentations","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115806549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
OP3 Metabolic phenotyping in aortic stenosis: insights from a multi-parametric cardiac magnetic resonance study 主动脉狭窄的OP3代谢表型:来自多参数心脏磁共振研究的见解
Pub Date : 2022-09-01 DOI: 10.1136/heartjnl-2022-bsci.3
S. Monga, L. Valkovič, M. Mahmod, S. Myerson, S. Neubauer, O. Rider
{"title":"OP3 Metabolic phenotyping in aortic stenosis: insights from a multi-parametric cardiac magnetic resonance study","authors":"S. Monga, L. Valkovič, M. Mahmod, S. Myerson, S. Neubauer, O. Rider","doi":"10.1136/heartjnl-2022-bsci.3","DOIUrl":"https://doi.org/10.1136/heartjnl-2022-bsci.3","url":null,"abstract":"","PeriodicalId":117644,"journal":{"name":"Scientific oral presentations","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116779057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
OP5 Impact of diabetes mellitus on the quantitative assessment of coronary atherosclerosis in scot-heart trial 糖尿病对苏格兰心脏试验中冠状动脉粥样硬化定量评估的影响
Pub Date : 2022-09-01 DOI: 10.1136/heartjnl-2022-bsci.5
Zuzanna Malgorzata Gebert, A. Moss, J. Weir-McCall, G. Roditi, E. V. Beek, E. Nicol, N. Mills, M. Dweck, D. Dey, D. Newby, M. Williams
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引用次数: 0
OP4 Perivascular fat attenuation index mapping around the right and left coronary artery independently predict cardiac mortality OP4左右冠状动脉血管周围脂肪衰减指数独立预测心脏死亡率
Pub Date : 2020-09-01 DOI: 10.1136/HEARTJNL-2020-BSCI.4
C. Kotanidis, E. Oikonomou, M. Marwan, K. Thomas, A. Alashi, A. Antonopoulos, C. Shirodaria, S. Neubauer, K. Channon, S. Achenbach, M. Desai, C. Antoniades
Introduction Coronary inflammation induces spatial changes in perivascular adipose tissue (PVAT) composition, which can now be detected as spatial changes in PVAT attenuation quantified by the perivascular Fat Attenuation Index (FAI) on coronary computed tomography angiography (CCTA). We assessed the ability of perivascular FAI mapping around the right and left coronary territories to independently stratify future cardiac risk. Methods This was a post-hoc analysis of the CRISP-CT (Cardiovascular RISk Prediction using Computed Tomography) study that included 3912 patients with an average age of 55.7 years (standard deviation [SD]: 13.7 years). Perivascular FAI mapping was performed around the proximal right (RCA) and left anterior descending (LAD) coronary arteries. FAI was calculated based on the weighted average attenuation of PVAT using the CaRi-HEART algorithm, as previously described. The independent association with future incidence of cardiac death was assessed in adjusted Cox regression models. Results Over a median follow-up period of 5.6 years, 74 cardiac deaths were recorded. The cross-sectional association between perivascular FAI around the RCA and LAD at baseline was found to be moderate (R2=0.36, P Conclusion Perivascular FAI around the coronary arteries is characterised by anatomical/regional variability, and its values are affected by the coronary segment interrogated. Non-invasive characterization of coronary inflammation using CCTA-derived FAI should include a comprehensive assessment of both coronary arteries in order to better characterize the inflammatory residual risk of each patient.
冠状动脉炎症诱导血管周围脂肪组织(PVAT)组成的空间变化,现在可以通过冠状动脉计算机断层血管造影(CCTA)的血管周围脂肪衰减指数(FAI)量化PVAT衰减的空间变化来检测。我们评估了左右冠状动脉区域周围血管周围FAI制图的能力,以独立地分层未来的心脏风险。方法本研究是对CRISP-CT(使用计算机断层扫描进行心血管风险预测)研究的事后分析,该研究包括3912名平均年龄55.7岁(标准差[SD]: 13.7岁)的患者。在右冠状动脉近端(RCA)和左冠状动脉前降支(LAD)周围进行血管周围FAI制图。如前所述,FAI是基于使用CaRi-HEART算法的PVAT加权平均衰减来计算的。通过调整后的Cox回归模型评估与未来心源性死亡发生率的独立关联。结果在中位随访5.6年期间,记录了74例心脏性死亡。RCA周围血管周围FAI与基线时LAD的横断面相关性为中等(R2=0.36, P)结论冠状动脉周围血管周围FAI具有解剖/区域变异性,其值受所测冠状动脉段的影响。使用ccta衍生的FAI对冠状动脉炎症进行无创表征应包括对双冠状动脉的全面评估,以便更好地表征每位患者的炎症残留风险。
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引用次数: 0
OP5 Pericoronary adipose tissue density is greater in takayasu arteritis than atherosclerosis and is associated with coronary arterial inflammation measured by 68Ga-DOTATATE PET 经68Ga-DOTATATE PET检测,高须动脉炎患者冠状动脉周围脂肪组织密度大于动脉粥样硬化患者,与冠状动脉炎症相关
Pub Date : 2020-09-01 DOI: 10.1136/HEARTJNL-2020-BSCI.5
C. Wall, Yuan Huang, C. Uy, E. Le, E. Tombetti, R. Manavaki, M. Dweck, D. Gopalan, M. Bennett, P. Slomka, D. Dey, J. Mason, J. Rudd, J. Tarkin
Introduction Pericoronary adipose tissue (PCAT) density is associated with vascular inflammation, but its nature is not fully understood. We compared PCAT density with clinical and molecular imaging markers of inflammation. Methods PCAT density was quantified in patients with Takayasu arteritis (TAK), coronary artery disease (CAD), and age and gender-matched healthy controls from cardiac CT images using semi-automated software (Autoplaque). In TAK patients, PCAT density was also compared to the Indian Takayasu Clinical Activity Score (ITAS). In CAD patients, PCAT density was compared to maximum tissue-to-blood ratio (TBRmax) from motion-corrected 68Ga-DOTATATE PET, using image registration software (FusionQuant), and aortic 18F-fluorodeoxyglucose (FDG) PET. Imaging was acquired during clinical care or prior research. 68Ga-DOTATATE is an experimental marker of vascular inflammation that binds macrophage somatostatin receptor-2. Results 60 patients were included (TAK, n=20; CAD, n=20; healthy, n=20). Mean PCAT density varied significantly among the three groups (TAK: -74.00 ±SD 11.92 Hounsfield unit [HU]; CAD: -80.39 ±SD 10.9 HU; healthy controls: -83.85 ±SD 10.07 HU; p Conclusion PCAT density could be a useful, non-PET marker of coronary arterial inflammation and disease activity in both TAK and CAD patients.
冠状动脉周围脂肪组织(PCAT)密度与血管炎症有关,但其性质尚不完全清楚。我们将PCAT密度与炎症的临床和分子成像标志物进行比较。方法采用半自动软件(Autoplaque)对高松动脉炎(Takayasu arteritis, TAK)、冠状动脉疾病(冠心病,CAD)患者以及年龄和性别匹配的健康对照者的心脏CT图像进行PCAT密度量化。在TAK患者中,PCAT密度也与印度Takayasu临床活动评分(ITAS)进行比较。在CAD患者中,使用图像配准软件(FusionQuant)和主动脉18f -氟脱氧葡萄糖(FDG) PET,将PCAT密度与运动校正68Ga-DOTATATE PET的最大组织血比(TBRmax)进行比较。影像学是在临床护理或先前的研究中获得的。68Ga-DOTATATE是血管炎症的实验标志物,与巨噬细胞生长抑素受体-2结合。结果纳入60例患者(TAK, n=20;CAD, n = 20;健康,n = 20)。三组间平均PCAT密度差异显著(TAK: -74.00±SD 11.92 Hounsfield单位[HU];Cad: -80.39±sd 10.9 hu;健康对照组:-83.85±SD 10.07 HU;结论PCAT密度可作为TAK和CAD患者冠状动脉炎症和疾病活动性的一种有用的非pet标志物。
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引用次数: 0
OP1 Coronary artery disease and atherosclerotic plaque subtypes in patients with suspected angina and a coronary calcium score of zero 冠状动脉钙化评分为0的疑似心绞痛患者的冠状动脉疾病和动脉粥样硬化斑块亚型
Pub Date : 2020-09-01 DOI: 10.1136/heartjnl-2020-bsci.1
M. Osborne-Grinter, J. Kwiecinski, M. Doris, P. McElhinney, S. Cadet, P. Adamson, A. Moss, S. Alam, Amanda L. Hunter, Anoop S. V. Shah, N. Mills, T. Pawade, Chengjia Wang, Jonathan Weir McCall, G. Roditi, E. V. Beek, E. Nicol, D. Berman, P. Slomka, M. Dweck, D. Dey, D. Newby, M. Williams
Maia Osborne-Grinter, Jacek Kwiecinski, Mhairi Doris, Priscilla McElhinney, Sebastien Cadet, Philip D Adamson, Alastair J Moss, Shirjel Alam, Amanda Hunter, Anoop SV Shah, Nicholas L Mills, Tania Pawade, Chengjia Wang, Jonathan Weir McCall, Giles Roditi, Edwin JR van Beek, Edward D Nicol, Daniel Berman, Piotr J Slomka, Marc R Dweck, Damini Dey, David E Newby, Michelle C Williams. British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK
Maia osburn - grinter, Jacek Kwiecinski, Mhairi Doris, Priscilla McElhinney, Sebastien Cadet, Philip D Adamson, Alastair J Moss, Shirjel Alam, Amanda Hunter, Anoop SV Shah, Nicholas L Mills, Tania Pawade, Chengjia Wang, Jonathan Weir McCall, Giles roroditi, Edwin JR van Beek, Edward D Nicol, Daniel Berman, Piotr J Slomka, Marc R Dweck, Damini Dey, David E Newby, Michelle C Williams。英国心脏基金会心血管科学中心,爱丁堡大学,英国爱丁堡
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引用次数: 0
OP3 Improved cardiac risk stratification in individuals with high risk plaque features using the perivascular fat attenuation index on CCTA 使用CCTA血管周围脂肪衰减指数改善具有高危斑块特征个体的心脏风险分层
Pub Date : 2020-03-01 DOI: 10.1136/HEARTJNL-2020-BSCI.3
C. Kotanidis, E. Oikonomou, M. Marwan, Laura Kluener, K. Thomas, A. Alashi, A. Antonopoulos, C. Shirodaria, S. Neubauer, K. Channon, S. Achenbach, M. Desai, C. Antoniades
Introduction High-risk plaque (HRP) features on coronary computed tomography angiography (CCTA) are indicators of increased cardiac risk. Coronary inflammation induces spatial changes in perivascular adipose tissue (PVAT) composition, which can be quantified with the perivascular Fat Attenuation Index (FAI). We hypothesized that perivascular FAI mapping can further stratify the cardiac risk associated with HRP on CCTA. Methods Individuals from the CRISP-CT (Cardiovascular RISk Prediction using Computed Tomography) study were included (n=3,912, mean age 55.7±13.7 years, 41.1% females). Perivascular FAI mapping was performed around the proximal right coronary artery and was calculated based on the weighted average attenuation of PVAT using the CaRi-HEART algorithm, as previously described. HRP features were defined as the presence of either positive remodelling, low-attenuation plaque, spotty calcification or napkin-ring sign. The association with future incidence of major adverse cardiac events (cardiac mortality or non-fatal myocardial infarction) was assessed using Cox regression models (adjusted for age, sex, epicardial fat volume and coronary artery disease [≥50% stenosis]). Results The prevalence of HRP and high FAI (≥-70.1 Hounsfield Units, as previously validated) was 23.6% (n=923) and 24.3% (n=952), respectively. Over a median follow-up of 5.6 years (25th-75th percentile: 4.0–7.0 years) 91 MACE were recorded. Patients with both HRP features and high FAI (FAI+/HRP+) had a 6.3-fold higher adjusted risk of MACE compared to those with neither of these risk features (HRP-/FAI-). Furthermore, patients without HRP features but with high FAI (HRP-/FAI+) had a 4.9-fold higher adjusted risk of MACE compared to the reference (HRP-/FAI-) group. Conclusion FAI is a stronger predictor of cardiac mortality than high-risk plaques, and there is additive predictive value between plaque morphology and coronary inflammatory burden. There is need for tools to provide comprehensive risk assessment based on CCTA, by extracting, weighting and interpreting all available information from these scans.
冠状动脉ct血管造影(CCTA)显示的高危斑块(HRP)特征是心脏风险增加的指标。冠状动脉炎症引起血管周围脂肪组织(PVAT)组成的空间变化,这可以用血管周围脂肪衰减指数(FAI)来量化。我们假设血管周围FAI制图可以在CCTA上进一步分层HRP相关的心脏风险。方法纳入来自CRISP-CT(使用计算机断层扫描进行心血管风险预测)研究的个体(n=3,912,平均年龄55.7±13.7岁,女性41.1%)。如前所述,在右冠状动脉近端周围进行血管周围FAI制图,并使用CaRi-HEART算法根据PVAT加权平均衰减计算。HRP特征定义为存在阳性重构、低衰减斑块、点状钙化或餐巾环征。使用Cox回归模型(调整年龄、性别、心外膜脂肪量和冠状动脉疾病[狭窄≥50%])评估与未来主要不良心脏事件(心脏死亡或非致死性心肌梗死)发生率的关联。结果HRP和高FAI(≥-70.1 Hounsfield单位,先前验证)的患病率分别为23.6% (n=923)和24.3% (n=952)。中位随访5.6年(25 -75百分位:4.0-7.0年),记录了91例MACE。具有HRP特征和高FAI (FAI+/HRP+)的患者发生MACE的调整风险比没有这两种风险特征(HRP-/FAI-)的患者高6.3倍。此外,没有HRP特征但具有高FAI (HRP-/FAI+)的患者与参考(HRP-/FAI-)组相比,MACE调整风险高4.9倍。结论FAI比高危斑块更能预测心脏死亡,且斑块形态与冠状动脉炎症负担之间存在叠加预测价值。需要有工具来提供基于CCTA的综合风险评估,通过提取、加权和解释来自这些扫描的所有可用信息。
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