9 Apr 2025 • The visual coronary artery calcification (VCAC) score derived from standard chest CT scans may help identify cardiac arrest patients without ST-elevation myocardial infarction (STEMI) who are likely to benefit from emergency coronary angiography.

Among the patients, a VCAC score of ≥4 demonstrated excellent predictive value for significant coronary artery stenosis (AUC = 0.95) and was 100% sensitive in identifying those who ultimately underwent ad hoc or delayed PCI.

A threshold of VCAC ≥5 also reliably predicted culprit lesions (AUC = 0.90) and the need for PCI (AUCs = 0.886–0.921).

Source: Springer Open | Read Full Story