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Impact of COVID-19 Infection on Regional Periocoronary Inflammation: An Angio-CT Study of Epicardial Fat Attenuation

Open Access
|Jun 2023

Figures & Tables

Figure 1

PRISMA flowchart of patient’s recruitment
* Coronary artery calcium (CAC) > 1000; ** Poor quality coronary reconstructions and contained artifacts
PRISMA flowchart of patient’s recruitment * Coronary artery calcium (CAC) > 1000; ** Poor quality coronary reconstructions and contained artifacts

Figure 2

Conventional CCTA image of the three major coronary arteries (A), and a colored mapping of an abnormal FAI for the same patient (B)
Conventional CCTA image of the three major coronary arteries (A), and a colored mapping of an abnormal FAI for the same patient (B)

Figure 3

Analysis of FAI score between the RCA and LCA
Analysis of FAI score between the RCA and LCA

AI-based PCAT - FAI Score

ParametersWhole study sample (n = 172)Group 1 (COVID-19) (n = 80)Group 2 (non-COVID-19) (n = 92)P-value *
FAI HU LAD, mean ± SD−76.08 ± 7.66−75.07 ± 7.59−76.46 ± 7.74NS
FAI HU LCX, mean ± SD−71.32 ± 7.50−71.44 ± 7.88−71.21 ± 7.16NS
FAI HU RCA, mean ± SD−73.11 ± 8.94−72.97 ± 9.38−73.23 ± 9.61NS
FAI Score LAD, mean ± SD10.39 ± 7.019.12 ± 6.2011.87 ± 8.230.05
FAI Score LCX, mean ± SD11.24 ± 6.2810.77 ± 6.1313.02 ± 6.760.05
FAI Score RCA, mean ± SD15.10 ± 11.9414.74 ± 12.2415.88 ± 10.36NS
FAI Score LCA, mean ±SD11.02 ± 6.489.78 ± 5.9512.11 ± 7.210.005
FAI Score TOTAL, mean ± SD11.90 ± 7.9310.55 ± 7.3213.01 ± 8.160.001

Baseline characteristics, comorbidities, and risk factors in the study population

ParametersWhole study sample (n =172)Group 1 (COVID-19) (n = 80)Group 2 (non-COVID-19) (n = 92)P-value *
Male gender, n (%)115 (66.86%)49 (61.25%)66 (71.73%)NS
Age at time of scan, mean ± SD62.43 ± 11.6260.19 ± 10.1062.84 ± 9.90NS
Smoking, n (%)31 (18.02%)10 (12.50%)21 (22.82%)NS
Hypertension, n (%)146 (84.88%)65 (81.25%)82 (89.13%)NS
Hypercholesterolemia, n (%)86 (50.00%)32 (40.00%)54 (58.69%)0.02
Diabetes, n (%)47 (27.32%)19 (23.75%)28 (30.43%)NS
Obesity, n (%)44 (25.58%)26 (32.50%)19 (20.65%)0.06
BMI, mean ± SD27.57 ± 4.2928.51 ± 4.2126.93 ± 4.250.03
PCI after CCTA, n (%)75 (43.60%)30 (37.50%)47 (51.08%)NS
Multi-vessel PCI, n (%)25 (14.53%)8 (26.66%)18 (38.29%)NS
Heart failure, n (%)127 (72.67%)61 (76.25%)70 (76.08%)NS
LVEF (%), mean ± SD47.69 ± 5.0748.34 ± 4.1847.12 ± 5.71NS
Creatinine (mg/dl), mean ± SD0.97 ± 0.260.93 ± 0.231.00 ± 0.27NS
Total cholesterol (mg/dl), mean ± SD167.3 ± 47.13161.4 ± 43.55171.0 ± 49.240.07
Triglycerides (mg/dl), mean ± SD145.7 ± 69.49134.1 ± 75.04154.0 ± 64.580.03
COVID-19 vaccine, n (%)107 (62.20%)46 (57.50%)56 (60.86%)NS
Time from COVID-19 to CCTA (days), mean ± SD134.2 ± 104.9

CaRI Heart® Coronary Inflammation

ParametersWhole study sample (n = 158)Group 1 (COVID-19) (n = 75)Group 2 (non-COVID-19) (n = 83)P-value *
CaRi Heart® Risk, mean ± SD18.34 ± 16.0211.34 ± 8.4723.81 ± 18.31< 0.0001
Duke Score, mean ± SD2.97 ± 1.362.54 ± 1.333.37 ± 1.27< 0.0001
DOI: https://doi.org/10.2478/rjc-2023-0011 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
Language: English
Page range: 47 - 53
Published on: Jun 30, 2023
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2023 Botond Mátyás, Imre Benedek, Diana Opincariu, Emanuel Blîndu, Aurelian Rosea, loana Rodean, Bianka Benedek, Theodora Benedek, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.