Differential progression of coronary atherosclerosis according to plaque composition: a cluster analysis of PARADIGM registry data.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
24 08 2021
24 08 2021
Historique:
received:
28
05
2021
accepted:
12
08
2021
entrez:
25
8
2021
pubmed:
26
8
2021
medline:
3
11
2021
Statut:
epublish
Résumé
Patient-specific phenotyping of coronary atherosclerosis would facilitate personalized risk assessment and preventive treatment. We explored whether unsupervised cluster analysis can categorize patients with coronary atherosclerosis according to their plaque composition, and determined how these differing plaque composition profiles impact plaque progression. Patients with coronary atherosclerotic plaque (n = 947; median age, 62 years; 59% male) were enrolled from a prospective multi-national registry of consecutive patients who underwent serial coronary computed tomography angiography (median inter-scan duration, 3.3 years). K-means clustering applied to the percent volume of each plaque component and identified 4 clusters of patients with distinct plaque composition. Cluster 1 (n = 52), which comprised mainly fibro-fatty plaque with a significant necrotic core (median, 55.7% and 16.0% of the total plaque volume, respectively), showed the least total plaque volume (PV) progression (+ 23.3 mm
Identifiants
pubmed: 34429500
doi: 10.1038/s41598-021-96616-w
pii: 10.1038/s41598-021-96616-w
pmc: PMC8385056
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
17121Informations de copyright
© 2021. The Author(s).
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