This study is a multicenter, prospective clinical cohort study. The study intends to continuously enroll patients with coronary heart disease. All subjects will undergo coronary CTA (followed by anatomic, functional and radiomics analysis), proteomics research as well as clinical follow-up of cardiovascular events. The purpose of this study is to establish a new, non-invasive cardiovascular disease risk stratification system.
Coronary angiography has been the gold standard for the diagnosis of coronary heart disease and PCI decision-making. However, the value of CAG in risk stratification is limited due to its invasive nature and lack of ability to evaluate coronary physiology and plaque characteristics, which often leads to over-treatment or under-treatment. In recent years, with the development and improvement of imaging technology, the resolution and diagnostic accuracy of coronary artery CTA have been greatly improved, and the subsequent anatomy and function (non-invasive CT-FFR, etc.) have made the assessment of coronary artery lesion risk multi-dimensional. Comprehensive and accurate coronary artery CTA scan plays a positive role in establishing the appropriate standard for PCI and improving the prognosis of patients. However, the existing problems of coronary artery CTA are insufficient imaging studies, complex image analysis, inconsistent diagnostic criteria, and insufficient clinical evidence. This study is one of the series of clinical studies on the topic of "Risk Evaluation by COronary Computed Tomography and Artificial Intelligence Based fuNctIonal analyZing tEchniques (RECOGNIZE)". The purpose of the study is to evaluate the accuracy of early identification of cardiovascular high-risk groups based on the functional evaluation model based on coronary CTA images through a multi-center, prospective clinical cohort study, so as to establish an early, non-invasive and accurate risk classification of cardiovascular events in coronary heart disease.
Study Type
OBSERVATIONAL
Enrollment
2,000
Cangzhou Center Hospital
Cangzhou, Hebei, China
NOT_YET_RECRUITINGFirst affiliated hospital of Harbin Medical University
Harbin, Heilongjiang, China
NOT_YET_RECRUITINGMajor Adverse Cardiovascular Events
Including cardiovascular death, myocardial infarction, and stroke
Time frame: 2 years
Cardiovascular death
Death due to cardiovascular events
Time frame: 2 years
Myocardial infarction
Including STEMI and NSTEMI
Time frame: 2 years
Stroke
Including ischemic and hemorrhagic stroke
Time frame: 2 years
Coronary Revascularization
Including percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG)
Time frame: 2 years
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First affiliated hospital of Zhengzhou University
Zhengzhou, Henan, China
Union Hospital, Tongji Medical College, Huazhong University of Science and Techonology
Wuhan, Hubei, China
NOT_YET_RECRUITINGFirst Hospital of Nanjing
Nanjing, Jiangsu, China
NOT_YET_RECRUITINGFirst affiliated hospital of Dalian Medical College
Dalian, Liaoning, China
NOT_YET_RECRUITINGGeneral Hospital of Northern Theater Command
Shenyang, Liaoning, China
RECRUITINGXinhua Hospital, Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, China
NOT_YET_RECRUITINGRuijin Hospital, Shanghai Jiaotong University School of Medicine
Shanghai, China
RECRUITING