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• W4384568081 abstract "<h3>Introduction</h3> An incidental finding of coronary artery calcification (CAC) is a common finding on ungated CT thorax examinations. There is evidence that CAC correlates with formal Agatston calcium scores, and the risk of future atherosclerotic cardiovascular disease (ASCVD). National and international guidelines support the utilisation of CAC as a modifier during risk assessments. <h3>Objectives</h3> We sought to ascertain the current state of CAC reporting on CT thorax, and lipid lowering therapy (LLT) in patients with identified CAC. <h3>Methodology</h3> We conducted a single-centre retrospective observational study of patients undergoing a CT thorax for any indication. One hundred consecutive patients were examined. The electronic records of patients were used for data collection on CAC reporting in the CT report, and for data on LLT management in those with CAC. <h3>Results</h3> Of 100 consecutive patients undergoing CT thorax, 93 reported the presence or absence of CAC. Of the 77 cases in which CAC was present, descriptive terms were variable and included terms such as “noted” without further description. For the purpose of this study, cases were grouped into mild, moderate and severe categories. Only 5 reports contained any specific recommendation regarding further risk assessment. The referring clinician arranged lipid assessment in 16 of the 77 cases with CAC. Despite fifteen of these patients having sub-optimal LDL-c values, in no cases was LLT commenced or follow-up arranged. Moreover, in no cases was the presence of CAC or an adverse lipid profile communicated with the primary care team. Table 1 outlines key results from the study. <h3>Conclusion</h3> The incidental finding of CAC helps to identify patients who may benefit from lipid lowering therapy. Our study demonstrates that there are improvements that can be made in both the reporting and subsequent management of CAC. Recent reporting guidelines have emphasised the need for standardisation of reports and recommendations with respect to CAC. It is also of utmost importance that referring clinicians act upon CAC, and ensure patients are appropriately assessed and managed to reduce the risk of ASCVD. <h3>Conflict of Interest</h3> Nil" @default.
• W4384568081 created "2023-07-18" @default.
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• W4384568081 date "2023-06-01" @default.
• W4384568081 modified "2023-10-16" @default.
• W4384568081 title "206 Lipid lowering therapy in patients with incidental coronary artery calcification: a single-centre observational study" @default.
• W4384568081 doi "https://doi.org/10.1136/heartjnl-2023-bcs.206" @default.
• W4384568081 hasPublicationYear "2023" @default.
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