Coronary disease & ACSMeta-analysis

Advanced Analyses of Coronary Computed Tomography Angiography to Predict Future Cardiac Events

JACC Cardiovasc ImagingPublished

  • Systematic review and meta-analysis

Authors' conclusion

Advanced coronary CTA-based analyses show consistent association to the occurrence of MACE, suggesting their potential for refining cardiovascular risk stratification on top of conventional clinical risk assessment.

Study context

Population
Studies reporting coronary computed tomographic angiography (CTA)-based advanced analyses predicting major adverse cardiovascular events (MACE)
Participants
58,123 participants · 52 studies
Comparison
Advanced coronary CTA-based analyses for prediction of MACE
Outcome
Pooled HR of advanced coronary CTA-based analyses for prediction of MACE

Pooled result

As reported in the abstract

MACE
Hazard ratio (95% CI)P value
CT-FFR
6.14(3.75–10.05)
P < 0.01
High-risk plaque
4.05(3.16–5.18)
P < 0.01

Original publication

Advanced Analyses of Coronary Computed Tomography Angiography to Predict Future Cardiac Events. JACC Cardiovasc Imaging. Published 5 August 2025. doi:10.1016/j.jcmg.2025.05.017

Summarised from the published abstract; every number is checked against it