Chronic inflammatory diseases and coronary heart disease: Insights from cardiovascular CT

Epidemiological and clinical studies have demonstrated a consistent relationship between increased systemic inflammation and increased risk of cardiovascular events. In chronic inflammatory states, traditional risk factors only partially account for the development of coronary artery disease (CAD) b...

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Published in:	Journal of cardiovascular computed tomography Vol. 16; no. 1; pp. 7 - 18
Main Authors:	Patel, Nidhi H., Dey, Amit K., Sorokin, Alexander V., Teklu, Meron, Petrole, Rylee, Zhou, Wunan, Mehta, Nehal N.
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-01-2022
Subjects:	Biologic therapy Biomarkers Computed Tomography Angiography Coronary Angiography Coronary artery disease Coronary Artery Disease - diagnostic imaging Humans Inflammation Non-calcified burden Plaque, Atherosclerotic Predictive Value of Tests Subclinical atherosclerosis Tomography, X-Ray Computed Biomarkers Inflammation Subclinical atherosclerosis Non-calcified burden Coronary artery disease Biologic therapy
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Abstract	Epidemiological and clinical studies have demonstrated a consistent relationship between increased systemic inflammation and increased risk of cardiovascular events. In chronic inflammatory states, traditional risk factors only partially account for the development of coronary artery disease (CAD) but underestimate total cardiovascular risk likely due to the residual risk of inflammation. Computed coronary tomography angiography (CCTA) may aid in risk stratification by noninvasively capturing early CAD, identifying high risk plaque morphology and quantifying plaque at baseline and in response to treatment. In this review, we focus on reviewing studies on subclinical atherosclerosis by CCTA in individuals with chronic inflammatory conditions including rheumatoid arthritis (RA), systemic lupus erythematous (SLE), human immunodeficiency virus (HIV) infection and psoriasis. We start with a brief review on the role of inflammation in atherosclerosis, highlight the utility of using CCTA to delineate vessel wall and plaque characteristics and discuss combining CCTA with laboratory studies and emerging technologies to complement traditional risk stratification in chronic inflammatory states.
AbstractList	Epidemiological and clinical studies have demonstrated a consistent relationship between increased systemic inflammation and increased risk of cardiovascular events. In chronic inflammatory states, traditional risk factors only partially account for the development of coronary artery disease (CAD) but underestimate total cardiovascular risk likely due to the residual risk of inflammation. Computed coronary tomography angiography (CCTA) may aid in risk stratification by noninvasively capturing early CAD, identifying high risk plaque morphology and quantifying plaque at baseline and in response to treatment. In this review, we focus on reviewing studies on subclinical atherosclerosis by CCTA in individuals with chronic inflammatory conditions including rheumatoid arthritis (RA), systemic lupus erythematous (SLE), human immunodeficiency virus (HIV) infection and psoriasis. We start with a brief review on the role of inflammation in atherosclerosis, highlight the utility of using CCTA to delineate vessel wall and plaque characteristics and discuss combining CCTA with laboratory studies and emerging technologies to complement traditional risk stratification in chronic inflammatory states.
Author	Petrole, Rylee Zhou, Wunan Sorokin, Alexander V. Patel, Nidhi H. Mehta, Nehal N. Dey, Amit K. Teklu, Meron
Author_xml	– sequence: 1 givenname: Nidhi H. surname: Patel fullname: Patel, Nidhi H. – sequence: 2 givenname: Amit K. surname: Dey fullname: Dey, Amit K. – sequence: 3 givenname: Alexander V. surname: Sorokin fullname: Sorokin, Alexander V. – sequence: 4 givenname: Meron orcidid: 0000-0001-9279-3754 surname: Teklu fullname: Teklu, Meron – sequence: 5 givenname: Rylee surname: Petrole fullname: Petrole, Rylee – sequence: 6 givenname: Wunan surname: Zhou fullname: Zhou, Wunan – sequence: 7 givenname: Nehal N. surname: Mehta fullname: Mehta, Nehal N. email: nehal.mehta@nih.gov
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/34226164$$D View this record in MEDLINE/PubMed
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Snippet	Epidemiological and clinical studies have demonstrated a consistent relationship between increased systemic inflammation and increased risk of cardiovascular...
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SubjectTerms	Biologic therapy Biomarkers Computed Tomography Angiography Coronary Angiography Coronary artery disease Coronary Artery Disease - diagnostic imaging Humans Inflammation Non-calcified burden Plaque, Atherosclerotic Predictive Value of Tests Subclinical atherosclerosis Tomography, X-Ray Computed
Title	Chronic inflammatory diseases and coronary heart disease: Insights from cardiovascular CT
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