Coronary disease & ACS

High-risk coronary atherosclerosis at coronary computed tomography angiography in patients with Family histoRy of coronary Artery disease: an InTERnational multicentre study (The FRATER Study)

Eur J Prev CardiolPublished Retrospective analysis of a multicentre observational cohort study

Authors' conclusion

This prospective multicenter study shows that patients with a family history of CAD have a higher prevalence of high-risk atherosclerosis.

Study context

Population
Consecutive patients undergoing clinically indicated coronary computed tomography angiography (CCTA) for suspected CAD2:1 matched
Participants
480 patients
Exposure
Family history (FH) of CAD vs no FH of CAD
  • FH of CADn = 160
  • No FH of CADn = 320reference
Outcome
Prevalence of high-risk atherosclerosis at CCTA
Methodological detailsmatched 2:1, core lab CCTA evaluation
  • Matched 2:1
  • Core lab CCTA evaluation

Main finding

As reported in the abstract

High-risk atherosclerosis at CCTA

P = 0.0001

Observational data: associations, not effects.

Further findings

High-risk atherosclerosis or obstructive CAD at CCTA (very low probability of obstructive CAD subgroup)

P = 0.0009

Original publication

High-risk coronary atherosclerosis at coronary computed tomography angiography in patients with Family histoRy of coronary Artery disease: an InTERnational multicentre study (The FRATER Study). Eur J Prev Cardiol. Published 23 February 2026. doi:10.1093/eurjpc/zwag114

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