Table 3.
Events in statin recommendation classifications stratified by CCTA.
|
Hard ASCVD |
MACCE |
||||||
|---|---|---|---|---|---|---|---|
| Total | Events ( %) | Event Rate per 1000 Person-Yrs | HR (95 % CI) | Events ( %) | Event Rate per 1000 Person-Yrs | HR (95 % CI) | |
| No plaque | |||||||
| Statin not recommended | 2537 | 5 (0.2 %) | 0.6 (0.2–1.4) | 1 (reference) | 6 (0.2 %) | 0.7 (0.3–1.6) | 1 (reference) |
| Moderate-intensity statin | 1623 | 5 (0.3 %) | 0.9 (0.4–2.2) | 2.1 (0.3–13.2) | 6 (0.4 %) | 1.1 (0.5–2.5) | 2.7 (0.5–14.3) |
| High-intensity statin | 147 | 0 (0.0 %) | 0 | – | 0 (0.0 %) | 0 | – |
| Non-obstructive CAD | |||||||
| Statin not recommended | 767 | 9 (1.2 %) | 3.5 (1.8–6.6) | 1 (reference) | 15 (2.0 %) | 5.8 (3.5–9.5) | 1 (reference) |
| Moderate-intensity statin | 1813 | 32 (1.8 %) | 5.4 (3.9–7.7) | 1.0 (0.4–2.6) | 60 (3.3 %) | 10.2 (7.9–13.1) | 1.4 (0.7–2.9) |
| High-intensity statin | 239 | 6 (2.5 %) | 8.1 (3.6–17.9) | 1.4 (0.3–6.1) | 9 (3.8 %) | 12.1 (6.3–23.1) | 1.9 (0.7–5.4) |
| Obstructive CAD | |||||||
| Statin not recommended | 133 | 3 (2.3 %) | 6.5 (2.1–20.2) | 1 (reference) | 7 (5.3 %) | 15.3 (7.3–31.8) | 1 (reference) |
| Moderate-intensity statin | 504 | 16 (3.2 %) | 10.0 (6.1–16.3) | 1.5 (0.3–7.0) | 52 (10.3 %) | 32.5 (24.9–42.4) | 1.9 (0.8–4.8) |
| High-intensity statin | 97 | 7 (7.2 %) | 26.9 (13.0–56.0) | 3.6 (0.5–27.0) | 15 (15.5 %) | 57.7 (35.3–94.4) | 3.4 (1.0–11.4) |
Adjusted for age, sex, smoking, systolic pressure, fasting plasma glucose, low-density lipoprotein cholesterol, coronary artery calcium score, and aspirin use before CCTA.
CCTA, coronary computed tomography angiography; ASCVD, atherosclerotic cardiovascular disease; MACCE, major adverse cardiac and cerebrovascular event; CI, confidence interval; HR, hazard ratio; CAD, coronary artery disease.