Table 2.
Occurrence of cardiovascular events during 10-year follow-up, according to categories of coronary artery calcium score
| CACS (Agatston units) |
Event | |||||
|---|---|---|---|---|---|---|
| MACE (n = 90) |
MI (n = 36) |
Stroke (n = 36) |
CV death (n = 34) |
MI or CV death (n = 62) |
||
| 0 (n = 174) | Proportion with event | 5/174 (2.9%) | 0 | 5/174 (2.9%) | 0 | 0 |
| Rate per 1,000 person-years | 2.96 | 0 | 2.96 | 0 | 0 | |
| Hazard ratio* | 1 (ref.) | |||||
| 1–100 (n = 229) | Proportion with event | 19/229 (8.3%) | 8/229 (3.5%) | 6/229 (2.6%) | 6/229 (2.6%) | 13/229 (5.7%) |
| Rate per 1,000 person-years | 8.83 | 3.66 | 2.76 | 2.72 | 5.95 | |
| Unadjusted hazard ratio |
3.00 (1.12–8.04) p = 0.029 |
|||||
| Adjusted hazard ratio |
2.92 (1.06–7.86) p = 0.033 |
|||||
| 101–300 (n = 131) | Proportion with event | 23/131 (17.6%) | 6/131 (4.6%) | 12/131 (9.2%) | 9/131 (6.9%) | 14/131 (10.7%) |
| Rate per 1,000 person-years | 19.74 | 4.94 | 10.07 | 7.23 | 11.53 | |
| Unadjusted hazard ratio |
6.78 (2.58–17.83) p < 0.001 |
|||||
| Adjusted hazard ratio |
6.53 (2.47–17.29) p < 0.001 |
|||||
| > 300 (n = 201) | Proportion with event | 43/201 (21.4%) | 22/201 (10.9%) | 13/201 (6.5%) | 19/201 (9.5%) | 35/201 (17.4%) |
| Rate per 1,000 person-years | 24.94 | 12.45 | 7.25 | 10.30 | 19.81 | |
| Unadjusted hazard ratio |
8.68 (3.44–21.90) p < 0.001 |
|||||
| Adjusted hazard ratio |
8.30 (3.28–21.00) p < 0.001 |
|||||
CACS = coronary arteries calcium score (Agatston units); CV = cardiovascular; MACE = major adverse cardiovascular events; MI = myocardial infarction
*Hazard ratios are presented for MACE only due to wide confidence intervals secondary to low number of events in the individual endpoints. Adjustment was made for age, sex, duration of diabetes, insulin treatment, glycated hemoglobin, presence of retinopathy, nephropathy, neuropathy, creatinine clearance, prior CVA/TIA and medication treatment with aspirin or statin at enrolment, as well as PCE 10-year risk score (%) and MESA(without CACS) 10-year risk score (%)