Use of Coronary Computed Tomography Angiography to Screen Hospital Employees with Cardiovascular Risk Factors

• Main Authors: Po-Yi Li, Ru-Yih Chen, Fu-Zong Wu, Guang-Yuan Mar, Ming-Ting Wu, Fu-Wei Wang
• Format: Article
• Language: English
• Published: MDPI AG 2021-05-01
• Series: International Journal of Environmental Research and Public Health
• Subjects: coronary computed tomography angiography (CCTA); screen; Framingham Risk Score; Coronary Artery Disease Reporting and Data System (CAD-RADS); coronary artery disease
• Online Access: https://www.mdpi.com/1660-4601/18/10/5462

The objective of this study was to determine how coronary computed tomography angiography (CCTA) can be employed to detect coronary artery disease in hospital employees, enabling early treatment and minimizing damage. All employees of our hospital were assessed using the Framingham Risk Score. Those with a 10-year risk of myocardial infarction or death of >10% were offered CCTA; the Coronary Artery Disease Reporting and Data System (CAD-RADS) score was the outcome. A total of 3923 hospital employees were included, and the number who had received CCTA was 309. Among these 309, 31 (10.0%) had a CAD-RADS score of 3–5, with 10 of the 31 (32.3%) requiring further cardiac catheterization; 161 (52.1%) had a score of 1–2; and 117 (37.9%) had a score of 0. In the multivariate logistic regression, only age of ≥ 55 years (<i>p</i> < 0.05), hypertension (<i>p</i> < 0.05), and hyperlipidemia (<i>p</i> < 0.05) were discovered to be significant risk factors for a CAD-RADS score of 3–5. Thus, regular and adequate control of chronic diseases is critical for patients, and more studies are required to be confirmed if there are more significant risk factors.