Influence of statin treatment on coronary atherosclerosis visualised using multidetector computed tomography.

Abstract:

OBJECTIVE:Coronary angiography using multidetector computed tomography (MDCT) allows non-invasive assessment of non-calcified, calcified and mixed plaques. Progression of coronary plaques may be influenced by statins. METHODS:Sixty-three consecutive patients underwent MDCT as a follow-up to their original CT angiography in a retrospective longitudinal study. MDCT was performed by using a voxel size of 0.5 × 0.35 × 0.35 mm(3) at two time points 25 ± 3 months apart. Non-calcified, calcified and mixed coronary plaque components were analysed by using volumetric measurement. The influence of statin, low-density lipoprotein (LDL) and risk factors was assessed by using a linear random intercept model for plaque growth. RESULTS:The volumes of non-calcified, calcified and mixed coronary plaques significantly (P < 0.001) increased from baseline (medians/interquartile ranges = 21/15-39, 7/3-20 and 36/16-69 mm(3)) to follow-up (29/17-44, 13/6-29 and 41/20-75 mm(3)). Statins significantly slowed the growth of non-calcified plaques (statin coefficient β = -0.0036, P = 0.01) but did not significantly affect the growth rate of mixed or calcified plaques. The effect of statin treatment on non-calcified plaques remained significant after adjusting for LDL levels and cardiac risk factors. CONCLUSION:Quantification using MDCT shows that progression of non-calcified coronary plaques may be slowed by statins.

journal_name

Eur Radiol

journal_title

European radiology

authors

Hoffmann H,Frieler K,Schlattmann P,Hamm B,Dewey M

doi

10.1007/s00330-010-1880-x

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

2824-33

issue

12

eissn

0938-7994

issn

1432-1084

journal_volume

20

pub_type

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