B
Coronary artery plaque burden (CCTA)
Imaging & Subclinical DiseaseImaging markerriskpartially modifiable
36
evidence score
Also known as: Coronary CT angiography plaque, coronary plaque, plaque burden
PREVENT status
Not a PREVENT input variable.
Causal support
trial evidence
Score components
lit volume: 15.1meta-analyses: 9.1trials: 11.7genetic: 0MR bonus:
References (31)
2 meta-analyses / systematic reviews- METAPsoriasis treatments in the stabilization of atherosclerosis: a systematic review. — Archives of dermatological research 2024 · PMID 39739136
- METAOxidized low-density lipoprotein associates with cardiovascular disease by a vicious cycle of atherosclerosis and inflammation: A systematic review and meta-analysis. — Frontiers in cardiovascular medicine 2023 · PMID 36727024
- Glycemic control and coronary plaque characteristics in patients with acute myocardial infarction. — International journal of cardiology 2025 · PMID 39826579
- Vulnerable or High-Risk Plaque: A JACC: Cardiovascular Imaging Position Statement. — JACC. Cardiovascular imaging 2025 · PMID 40019413
- A genome-wide association study of imaging-defined atherosclerosis. — Nature communications 2025 · PMID 40164586
- Lipoprotein(a), Cholesterol, Triglyceride Levels, and Vulnerable Coronary Plaques: A PROSPECT II Substudy. — Journal of the American College of Cardiology 2025 · PMID 40436465
- Relationship between pericoronary fat attenuation index and quantitative plaque components in newly identified coronary plaques. — European journal of radiology 2025 · PMID 40450797
- Epicardial adipose tissue volume, compositional plaque progression, and vulnerability in nonobstructive coronary artery disease. — Coronary artery disease 2025 · PMID 40521640
- Ambient temperature and coronary plaque rupture risk in STEMI: Insights from OCT analysis. — Atherosclerosis 2025 · PMID 40930906
- Use of coronary artery calcium score and coronary CT angiography to guide cardiovascular prevention and treatment. — Therapeutic advances in cardiovascular disease 2024 · PMID 38708947
- Exploring the relationship between epicardial fat and coronary plaque burden and characteristics: insights from cardiac ct imaging. — The international journal of cardiovascular imaging 2024 · PMID 39008195
- Interplay of Age and Risk Factor Control Upon Coronary Atheroma Progression. — Heart, lung & circulation 2024 · PMID 39358130
- Insulin-like growth factor 1 reduces coronary atherosclerosis in pigs with familial hypercholesterolemia. — JCI insight 2023 · PMID 36602878
- Alirocumab and Coronary Atherosclerosis in Asymptomatic Patients with Familial Hypercholesterolemia: The ARCHITECT Study. — Circulation 2023 · PMID 37009731
- Gut Microbiota and Coronary Plaque Characteristics. — Journal of the American Heart Association 2022 · PMID 36000423
- Biomarkers associated with coronary high-risk plaques. — Journal of thrombosis and thrombolysis 2022 · PMID 36205839
- Cardiovascular Risk in Patients With Psoriasis: JACC Review Topic of the Week. — Journal of the American College of Cardiology 2021 · PMID 33795041
- Role of coronary artery calcium score in the primary prevention of cardiovascular disease. — BMJ (Clinical research ed.) 2021 · PMID 33947652
- Association between coronary atherosclerosis and visceral adiposity index. — Nutrition, metabolism, and cardiovascular diseases : NMCD 2020 · PMID 32127334
- Low-Attenuation Noncalcified Plaque on Coronary Computed Tomography Angiography Predicts Myocardial Infarction — Circulation 2020 · PMID 32174130
- Is Endurance Exercise Safe? The Myth of Pheidippides. — Southern medical journal 2019 · PMID 30943538
- Impact of Cumulative Inflammation, Cardiac Risk Factors, and Medication Exposure on Coronary Atherosclerosis Progression in Rheumatoid Arthritis — Arthritis & Rheumatology 2019 · PMID 31532064
- The evolving view of coronary artery calcium and cardiovascular disease risk — Clinical Cardiology 2018 · PMID 29356018
- Comparison of Carotid Plaque Score and Coronary Artery Calcium Score for Predicting Cardiovascular Disease Events: The Multi‐Ethnic Study of Atherosclerosis — Journal of the American Heart Association 2017 · PMID 28196817
- Polygenic Risk Score Identifies Subgroup With Higher Burden of Atherosclerosis and Greater Relative Benefit From Statin Therapy in the Primary Prevention Setting — Circulation 2017 · PMID 28223407
- Effects of stress on the development and progression of cardiovascular disease. — Nature reviews. Cardiology 2017 · PMID 29213140
- Atherosclerotic Vessel Changes in Sarcoidosis. — Advances in experimental medicine and biology 2016 · PMID 26820732
- Associations between plasma fibulin-1, pulse wave velocity and diabetes in patients with coronary heart disease. — Journal of diabetes and its complications 2015 · PMID 25633574
- Family history of coronary heart disease is more strongly associated with coronary than with carotid atherosclerosis in healthy asymptomatic adults. — Atherosclerosis 2014 · PMID 24534453
- A Prospective Natural-History Study of Coronary Atherosclerosis — New England Journal of Medicine 2011 · PMID 21247313
- Estrogen Therapy and Coronary-Artery Calcification — New England Journal of Medicine 2007 · PMID 17582069
Clinical trials (14)
| NCT | Title | Status | Type | Interventions |
|---|---|---|---|---|
| NCT07613294 | A Phase 3, Randomized, Double-Blind, Placebo-Controlled Trial of Lepodisiran to Investigate the Effect on Coronary Plaque in Adults With Elevated Lp(a) Who Have Established Atherosclerotic Cardiovascular Disease or Are at Risk for a First Cardiovascular Event | RECRUITING | INTERVENTIONAL | Lepodisiran, Placebo |
| NCT07349875 | Colchicine Treatment for Non-Flow-Limiting Coronary Plaque by Coronary CTA: A Randomized Controlled Trial | RECRUITING | INTERVENTIONAL | Colchicine combined with Guideline-Directed Medical Therapy |
| NCT06013722 | Strategy for Unstable Coronary Plaque in Patients Presenting to the Emergency Department for Chest Pain Suspected of Coronary Artery Disease. A Trial in Primary Prevention and Cardiovascular Risks Evaluation | ACTIVE NOT RECRUITING | INTERVENTIONAL | 18F-Na PET Scan |
| NCT04848857 | The Efficacy and Safety of Colchicine in Improving the Stability of Coronary Plaque in Patients With Acute Coronary Syndrome | COMPLETED | INTERVENTIONAL | Colchicine, Placebo |
| NCT04851769 | Impact of PCSK9 Inhibitors on Coronary Plaque Composition and Vulnerability in Patients With Coronary Artery Disease Assessed by Optical Coherence Tomography | COMPLETED | INTERVENTIONAL | PCSK9 inhibitor plus statin, standard statin therapy, Coronary imaging follow-up |
| NCT03745729 | A Single-center, Prospective, Randomized, Double-blind, Controlled Trial for the Effect of Allopurinol Sustained-release Capsules on the Stability of Coronary Plaques in Patients With Acute Coronary Syndrome | COMPLETED | INTERVENTIONAL | allopurinol sustained-release capsules, placebo capsules |
| NCT03570697 | High-Resolution Assessment of Coronary Plaques in a Global Evolocumab Randomized Study (HUYGENS) | COMPLETED | INTERVENTIONAL | Evolocumab, Placebo, Statin therapy |
| NCT01325818 | The Effects of Pravastatin and Rosuvastatin on the Tissue Characteristics and Morphology of Coronary Plaques in Patients With Stable Angina Pectoris | UNKNOWN | INTERVENTIONAL | pravastatin, rosuvastatin |
| NCT00997880 | Effect of High-Dose and Low-Dose Statin for Coronary Plaque Modification | COMPLETED | INTERVENTIONAL | Rosuvastatin calcium 40mg, Rosuvastatin calcium10mg |
| NCT06681155 | A Prospective Cohort Study on the Identification of High-Risk Coronary Plaque by Multimodality Intravascular Imaging(PlaqueVision Study) | NOT YET RECRUITING | OBSERVATIONAL | Assessment of plaque morphology, structure, and stability in non-culprit lesions |
| NCT06933745 | Ultrasound of Carotid and Femoral Plaque Burden and Non-alcoholic Fatty Liver Disease as Predictors of Cardiovascular Disease | COMPLETED | OBSERVATIONAL | |
| NCT04680689 | Assessment of Lesion-Associated Myocardial Ischemia Based on Fusion Coronary CT Imaging- the FUSE-HEART Study: Protocol for a Non-randomised Clinical Trial | COMPLETED | OBSERVATIONAL | 128 Multislice CT coronary angiography, 2D Cardiac Transthoracic Echocardiography, Laboratory Blood tests |
| NCT04397198 | New Imaging-Derived Biomarkers Based On Tridimensional CTA/MRI Hybrid Models For Complex Assessment Of Myocardial Viability After Myocardial Infarction-the HYBRIDHEART Study | COMPLETED | OBSERVATIONAL | Speckle Tracking echocardiography |
| NCT04525508 | Coronary Artery Plaque Burden in Asymptomatic Danish Men Aged 65-75 Years and the Relation to Glycemic Status. A Coronary CT Angiography (CCTA) Study. | COMPLETED | OBSERVATIONAL |
Genetic associations (0)
None linked.