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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-18810

Nucifora, G; Schuijf, J D; Tops, L F; van Werkhoven, J M; Kajander, S; Jukema, J W; Schreur, J H M; Heijenbrok, M W; Trines, S A; Gaemperli, O; Turta, O; Kaufmann, P A; Knuuti, J; Schalij, M J; Bax, J J (2009). Prevalence of Coronary Artery Disease Assessed by Multislice Computed Tomography Coronary Angiography in Patients With Paroxysmal or Persistent Atrial Fibrillation. Circulation. Cardiovascular imaging, 2(2):100-106.

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Abstract

Background—Although atrial fibrillation (AF) has been linked to underlying coronary artery disease (CAD), data
supporting this association have been based on ECG and clinical history for the definition of CAD rather than direct visualization of atherosclerosis.
Methods and Results—The prevalence of CAD among patients with paroxysmal or persistent AF and without history of
CAD was evaluated using multislice computed tomography. Multislice computed tomography was performed in 150
patients with AF (61_11 years, 67% males, 58% asymptomatic) with predominantly low (59%) or intermediate (25%)
pretest likelihood of CAD. CAD was classified as obstructive (_50% luminal narrowing) or not. A population of 148 patients without history of AF, similar to the AF group as to age, gender, symptomatic status, and pretest likelihood, served as a control group. Logistic regression analysis was applied to evaluate the relationship between demographic and clinical data and the presence of obstructive CAD. On the basis of multislice computed tomography, 18% of patients with AF were classified as having no CAD, whereas 41% showed nonobstructive CAD and the remaining 41% had obstructive CAD. Among patients without AF, 32% were classified as having no CAD, whereas 41% showed nonobstructive CAD and 27% had obstructive CAD (P_0.010 compared with patients with AF). At logistic regression analysis, age, male gender, and the presence of AF were significantly related to obstructive CAD.
Conclusion—A higher prevalence of obstructive CAD was observed among patients with AF, confirming the hypothesis
that AF could be a marker of advanced coronary atherosclerosis. (Circ Cardiovasc Imaging. 2009;2:100-106.)

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17 citations in Web of Science®
20 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Nuclear Medicine
04 Faculty of Medicine > Center for Integrative Human Physiology
04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiology
DDC:570 Life sciences; biology
610 Medicine & health
Language:English
Date:2009
Deposited On:08 Jun 2009 06:58
Last Modified:27 Nov 2013 17:18
Publisher:American Heart Association
ISSN:1941-9651
Publisher DOI:10.1161/CIRCIMAGING.108.795328

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