{
  "abstract": "Introduction There are European guidelines on the management of coronary artery calcification (CAC) 2 when seen on CT Coronary angiogram (CTCA) or CT calcium scoring. There is a paucity in guidelines on management of incidental CAC reported on non-cardiac gated CT Thorax. A finding of CAC in a patient without known atherosclerosis provides an opportunity to assess cardiac risk, promote risk factor optimisation and evaluate need for cardiac work-up.Aims We aim to explore the prevalence of incidental CAC reported on thoracic CTs of inpatients and evaluate current risk factor assessment and optimisation.Methods Single-centre retrospective observational study of consecutive general medical inpatients aged 40–75, who had undergone a non-cardiac CT thorax during their admission. Data were collected using local electronic health records. Exclusion criteria were patients with known ischaemic heart disease (IHD). Risk factors assessment was noted by documentation of smoking status, hypertension, diabetes and Low-density lipoprotein (LDL) values.Results A total of 186 patients with thoracic CT scans were identified. On review of all CT reports, 53 (28.4%) patients had CAC reported, of whom 17 had known IHD. Therefore 36 (19.4%) patients were identified for further analysis. Baseline demographics as per table 1. LDL and HBA1C were checked in 14 (39%) and 16 (44%) patients respectively as per Table 2. An exercise stress test was booked in none of the patients. A coronary angiogram was booked in 1 patient.Conclusion One fifth of medical inpatients in our study had a new finding of CAC on thoracic imaging. Cardiovascular risk factors of LDL and HBA1C were checked in less than half of patients. There is a valuable opportunity to optimise cardiac risk factors in a subset of medically admitted patients with CAC reported on non-cardiac CTs. This can be facilitated by raising awareness and implementing a reference flowchart ( figure 1).Abstract 25 Table 1Abstract 25 Table 2Abstract 25 Figure 1",
  "authors": [
    {
      "affiliations": [
        "Mater University Hospital, Dublin, Ireland"
      ],
      "name": "D Jain"
    },
    {
      "affiliations": [
        "Mater University Hospital, Dublin, Ireland"
      ],
      "name": "R Doyle"
    },
    {
      "affiliations": [
        "Mater University Hospital, Dublin, Ireland"
      ],
      "name": "P Devitt"
    },
    {
      "affiliations": [
        "Mater University Hospital, Dublin, Ireland"
      ],
      "name": "J Burns"
    },
    {
      "affiliations": [
        "Mater University Hospital, Dublin, Ireland"
      ],
      "name": "C McGorrian"
    }
  ],
  "title": "25 Coronary artery calcification on non-cardiac gated ct thorax scans – a single tertiary centre retrospective observational study",
  "uid": "a0187e76-1e5d-53ac-91cf-bc89746d4fc3"
}