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Sociedade Brasileira de Cardiologia - SBC, Arquivos Brasileiros de Cardiologia, 2015

DOI: 10.5935/abc.20150088

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Changes in Medical Management after Coronary CT Angiography

Journal article published in 2015 by Naue,Vânia Mairi, Lima,Ronaldo de Souza Leão, Resende,Elmiro Santos, Ronaldo de Souza Leão Lima, Andréa Rocha de Lorenzo, Vânia Mairi Naue, Gabriel Camargo, Letícia Roberto Sabioni, Camargo,Gabriel, Sabioni,Letícia Roberto, Ronaldo de Souza Leão Lima, Maria Eduarda Derenne, Derenne,Maria Eduarda, Lorenzo,Andréa Rocha De, Andréa Rocha de Lorenzo and other authors.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Abstract Introduction: Coronary computed tomography angiography (CCTA) allows for non-invasive coronary artery disease (CAD) phenotyping. There are still some uncertainties regarding the impact this knowledge has on the clinical care of patients. Objective: To determine whether CAD phenotyping by CCTA influences clinical decision making by the prescription of cardiovascular drugs and their impact on non-LDL cholesterol (NLDLC) levels. Methods: We analysed consecutive patients from 2008 to 2011 submitted to CCTA without previous diagnosis of CAD that had two serial measures of NLDLC, one up to 3 months before CCTA and the second from 3 to 6 months after. Results: A total of 97 patients were included, of which 69% were men, mean age 64 ± 12 years. CCTA revealed that 18 (18%) patients had no CAD, 38 (39%) had non-obstructive (