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Guiding Preventive Care Strategies for Patients With Atherosclerotic Plaque on Coronary CTA: Primary Outcomes of the DECIDE Registry - PubMed

7 hours ago
  • #Coronary CTA
  • #Atherosclerotic Plaque
  • #Preventive Care
  • The DECIDE registry studied the impact of AI-enabled coronary plaque analysis (AI-CPA) on preventive care strategies for patients with atherosclerotic plaque detected via coronary CTA.
  • Changes in management occurred in 51.3% of participants after AI-CPA findings were made available, with more extensive plaque correlating with higher intervention rates (up to 67.8%).
  • Intensification of medical therapy was the most common management change, observed in 35.6% of participants.
  • Patients with management changes experienced greater reductions in LDL cholesterol (-11 mg/dL) compared to those without changes (1 mg/dL).
  • The study concludes that AI-CPA is associated with significant preventive management changes, particularly in patients with more extensive plaque, warranting further randomized trials.