Dr. Purvi Parwani Profile picture
Cardiologist, Associate Prof of medicine , Director echo lab MMI #LLUH, tweets=myopinion #ACCImaging #whyCMR #Echofirst #YesCCT #WomenCVhealth๐Ÿง˜โ€โ™€๏ธ ๐ŸŒฑ ๐Ÿ‡ฎ๐Ÿ‡ณ ๐Ÿ‡บ๐Ÿ‡ธ

Jul 16, 2021, 10 tweets

Top 10 paper in #yesCCT by @ToddVillinesMD

1st paper

๐Ÿ“ Italian COVID 19 registry
N=1625
๐Ÿ“ Increasing #CAC associated with worse covid 19 outcomes of hospital death, MI and CVA
#YesCCT

2nd paper #Top10 papers #yesCCT
#SCCT2021
danish heart registry
๐Ÿ“ Plaque burden, not stenosis the main predictor of MACE
๐Ÿ“ patients with a comparable calcified atherosclerosis burden generally carry a similar risk for CVD events
jacc.org/doi/abs/10.101โ€ฆ

3rd paper #Top10 papers #yesCCT
#SCCT2021

CREDENCE trial
๐Ÿ“ Stress MPI vs #yesCCT for diagnosis of coronary physiology
๐Ÿ“ #yesCCT superior to stress MPI in the diagnosis of invasive FFR
jamanetwork.com/journals/jamacโ€ฆ

@lesleejshaw @RonBlankstein @AChoiHeart @ghoshhajra

4th paper of #Top10 papers #yesCCT
#SCCT2021

Machine learning - plaque assessment

๐Ÿ“ 6 features,
MLA,
% atheroma volume,
fibrofatty/necrotic core volume, plaque volume,
Prox LAD lesion,
remodeling index,
define ischemia & prognosticate.

sciencedirect.com/science/articlโ€ฆ

5th paper of #Top10 papers #yesCCT
#SCCT2021

Evaporate trial

๐Ÿ“ Icosapent ethyl demonstrated significant regression of low attenuation plaque volume on #yesCCT compared with placebo over 18โ€‰months.

academic.oup.com/eurheartj/artiโ€ฆ

@mirvatalasnag @DBelardoMD @JamalRanaMD

6th paper of top 10 #yesCCT #SCCT2021
#Ischemia trial

CCTA before randomization in ISCHEMIA -> high concordance with cath results for identification of patients with angiographically significant disease without LM disease.

jacc.org/doi/pdf/10.101โ€ฆ

7th paper of top 10 papers
#SCCT2021

๐Ÿ“ Pre-procedural #yesCCT for CTO ->โฌ†๏ธ success rates with โฌ‡๏ธ periprocedural complications ie coronary perforations/ periprocedural MI than angiography guidance.
๐Ÿ“ โฌ†๏ธ success rates in pts with โฌ†๏ธ high J-CTO score

jacc.org/doi/abs/10.101โ€ฆ

8th paper of top 10 papers #SCCT2021 @ToddVillinesMD

๐Ÿ“ Contrast-enhanced #yesCCT of AV calcific & non-calcific volumes correlates with AS severity and preferable to non-contrast CT when fibrosis is a significant contributor to valve obstruction.

heart.bmj.com/content/early/โ€ฆ

9th paper top 10 paper at #SCCT2021

๐Ÿ“ post-TAVR #yesCCT substantially downgraded the prevalence of P-PM compared to TTE
๐Ÿ“ post-TAVR #yesCCT identifies subset of patients with clinically relevant P-PM which associated with outcomes.

journalofcardiovascularct.com/article/S1934-โ€ฆ

Last paper top 10 paper at #SCCT2021
MESA participants, Baseline CAC=0, Follow up at 10 years
->15% progressed to CAC >10 in 5-8 years
-> 10-year progression to CAC >100 = rare.
-> consider rescanning in 3 to 7 years

sciencedirect.com/science/articlโ€ฆ

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