Table 1.
Accuracy of aortic valve calcium score measured by multidetector computed tomography to predict severe aortic stenosis in patients with normal left ventricular outflow
Aortic valve calcium score measured by CT (n=518) | Men | Women | ||||||
---|---|---|---|---|---|---|---|---|
AUC | Cutoff | Sensitivity (%) | Specificity (%) | AUC | Cutoff | Sensitivity (%) | Specificity (%) | |
Valve calcium score | 0.93 | 2067 AU | 93 | 81 | 0.92 | 1172 AU | 88 | 87 |
Valve calcium score/aortic annulus CSA | 0.95 | 510 AU/cm2 | 92 | 85 | 0.93 | 292 AU/cm2 | 92 | 83 |
Severe AS was defined as an AVA ≤1.0 cm2 and a mean gradient ≥40 mmHg. Normal LV outflow was defined as a stroke volume index >35 mL/m2 and a mean transvalvular flow rate >210 ml/s. These data were prospectively collected in 3 centers: QHLI, Bichat Hospital, and Mayo Clinic (31–34). ROC=Receiver operating characteristic, AUC=Area under the ROC curve, CSA=Cross-sectional area, SAVR=Surgical aortic valve replacement, LV=Left ventricular, AVA=Aortic valve area, QHLI=Quebec heart and lung institute