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Correspondence|Articles in Press

Prevalence, predictors and outcomes of cardiovascular calcifications by computed tomography in atrial fibrillation patients

Published:February 27, 2023DOI:https://doi.org/10.1016/j.jcct.2023.02.005
Prevalence, predictors and outcomes of cardiovascular calcifications by computed tomography in atrial fibrillation patients
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      Pulmonary vein isolation (PVI) is an established catheter-based intervention for selected atrial fibrillation (AF) patients.
      • January C.T.
      • Wann L.S.
      • Calkins H.
      • et al.
      AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American college of cardiology/American heart association task Force on clinical practice guidelines and the heart rhythm society.
      J Am Coll Cardiol. 2019; 74: 104-132
      ,
      • Calkins H.
      • Hindricks G.
      • Cappato R.
      • et al.
      HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation.
      Heart Rhythm. 2017; 14: e275-e444
      Peri-procedural computed tomography (CT) is often performed to assess for atrial and pulmonary venous anatomies and pathologies.
      • Calkins H.
      • Hindricks G.
      • Cappato R.
      • et al.
      HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation.
      Heart Rhythm. 2017; 14: e275-e444
      Cardiac CT also provides unique opportunities to evaluate cardiovascular calcifications (CVCa), including coronary artery (CAC), mitral annulus (MAC), aortic valve (AVC), and thoracic aorta (TAC) calcifications, however their clinical implications in AF patients are rarely studied.
      • Wang T.K.M.
      • Chan N.
      • Cremer P.C.
      • et al.
      Incorporating coronary calcification by computed tomography into CHA2DS2-VASc score: impact on cardiovascular outcomes in patients with atrial fibrillation.
      Europace. 2021; 23: 1211-1218
      This study evaluates the prevalence, associated factors, and outcomes of CVCa identified on CT in AF patients.
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      References

        • January C.T.
        • Wann L.S.
        • Calkins H.
        • et al.
        AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American college of cardiology/American heart association task Force on clinical practice guidelines and the heart rhythm society.
        J Am Coll Cardiol. 2019; 74: 104-132
        View in Article
        • Calkins H.
        • Hindricks G.
        • Cappato R.
        • et al.
        HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation.
        Heart Rhythm. 2017; 14: e275-e444
        View in Article
        • Wang T.K.M.
        • Chan N.
        • Cremer P.C.
        • et al.
        Incorporating coronary calcification by computed tomography into CHA2DS2-VASc score: impact on cardiovascular outcomes in patients with atrial fibrillation.
        Europace. 2021; 23: 1211-1218
        View in Article
        • Gondrie M.J.
        • van der Graaf Y.
        • Jacobs P.C.
        • Oen A.L.
        • Mali W.P.
        The association of incidentally detected heart valve calcification with future cardiovascular events.
        Eur Radiol. 2011; 21: 963-973
        View in Article
        • Arnett D.K.
        • Blumenthal R.S.
        • Albert M.A.
        • et al.
        ACC/AHA guideline on the primary prevention of cardiovascular disease: a report of the American college of cardiology/American heart association task Force on clinical practice guidelines.
        J Am Coll Cardiol. 2019; 74: e177-e232
        View in Article

      Article info

      Publication history

      Published online: February 27, 2023
      Accepted: February 16, 2023
      Received in revised form: February 11, 2023
      Received: December 27, 2022

      Publication stage

      In Press Journal Pre-Proof

      Identification

      DOI: https://doi.org/10.1016/j.jcct.2023.02.005

      Copyright

      © 2023 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.

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