The ultimate goal of this project is to develop a risk score to identify patients with vulnerable coronary atherosclerotic plaques, who are prone to suffer acute coronary syndrome. Early identification of vulnerable plaques may have an enormous impact on public health through primary and secondary prevention of acute myocardial infarction. Investigators hypothesize that a risk score that incorporates non-invasive coronary CT imaging (calcium score and/or coronary CTA) in combination with clinical characteristics (classical risk prediction models) will improve the identification of patients who are at highest risk to suffer myocardial infarction or sudden cardiac death. The overall goal of the OPeRA project is to develop, implement and validate a novel risk assessment tool based on image markers and clinical characteristics to identify patients who are at increased risk to suffer myocardial infarction or sudden cardiac death.
The primary goals of OPeRA consortium: To develop a national coronary CTA registry with the collaboration of all major cardiac CT centers of Hungary (Országos Plaque Regiszter és Adatbázis - NatiOnal Plaque Registry and DAtabase, OPeRA). 1. To develop a novel risk assessment tool (OPeRA score) based on image markers and clinical characteristics. 2. To identify and validate novel vulnerable coronary plaque image markers and assess their prognostic value. Secondary goals: 1. To develop a standardized and structured, national coronary CTA reporting system. 2. To establish a national quality control system that monitors the quantity of iodinated contrast agent and the patients' radiation dose.
Study Type
OBSERVATIONAL
Enrollment
20,000
University of Pécs
Pécs, Baranya, Hungary
Pándy Kálmán County Hospital
Gyula, Bekes County, Hungary
Borsod-Abaúj-Zemplén County Hospital and Teaching Hospital
Miskolc, Borsod-Abaúj-Zenpén, Hungary
University of Szeged
Szeged, Csongrád megye, Hungary
Petz Aladár County Teaching Hospital
Győr, Győr-Moson-Sopron, Hungary
University of Debrecen
Debrecen, Hajdú-Bihar, Hungary
Markhot Ferenc Teaching Hospital and Clinic
Eger, Heves County, Hungary
Homeland Defence Hospital
Budapest, Pest County, Hungary
Health Centrum, Kaposvár University
Kaposvár, Somogy County, Hungary
Markusovszky Teaching Hospital
Szombathely, Vas County, Hungary
...and 1 more locations
All cause death
Time frame: 10 years
Myocardial infarction
Time frame: 10 years
Unstable angina
Time frame: 10 years
Target vessel revascularization
Time frame: 10 years
CAD-related hospitalization
Time frame: 10 years
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