Author + information
- Christopher J. Suhar, MD⁎ (, )
- Todd M. Hitchcock, MD,
- Robert J. Russo, MD, PhD, FACC and
- Eric J. Topol, MD, FACC
- ↵⁎Scripps Clinic/Green Hospital, Division of Cardiovascular Diseases, 10666 North Torrey Pines Road, SW206, La Jolla, California 92037
In the September 18, 2007, issue of the Journal, Min et al. (1) reported the results of their registry analysis of 1,127 patients with cardiac symptoms undergoing 16-slice coronary computed tomographic angiography. Their results suggest that all-cause mortality may be predicted by the results of computed tomographic angiography and the use of a simplified coronary plaque scoring system. If replicated, this study will be viewed as an important contribution to the field of cardiology.
There is one major issue we would like to raise. A substantial number of patients had moderate to severe triple-vessel coronary artery disease. We assume most of these patients underwent revascularization that may well have affected their 15-month all-cause mortality and confounded interpretation of the data. This was also pointed out by the editorialist, John J. Mahmarian, MD (2). In a single-center, registry trial, the revascularization procedures and outcomes should be readily obtained and reported.
- American College of Cardiology Foundation
- Min J.,
- Shaw L.,
- Devereux R.,
- et al.
- Mahmarian J.