Progression of Coronary Calcium Detected on Routine Chest CT Enhances Cardiovascular Risk Assessment in Individuals with Inflammatory Bowel Disease: Findings from a Multicenter Study - Takeaways - MDSpire

Progression of Coronary Calcium Detected on Routine Chest CT Enhances Cardiovascular Risk Assessment in Individuals with Inflammatory Bowel Disease: Findings from a Multicenter Study

  • By

  • Qi Zhang

  • Yanxun Su

  • Chenyao Song

  • Ting Xu

  • Wenyan Liu

  • Jiaxin Cao

  • Binwei Guo

  • Lingjie Wang

  • Huajie Yue

  • Cheng Xu

  • Xuhui Zhao

  • Sijin Li

  • April 17, 2026

  • 0 min

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  • 1

    Coronary artery calcium (CAC) progression significantly predicts major adverse cardiovascular events (MACE) in patients with inflammatory bowel disease (IBD).

  • 2

    In a study of 467 IBD patients, 27.6% exhibited CAC progression, correlating with increased cardiovascular risk and incident atrial fibrillation.

  • 3

    Adding CAC progression to traditional cardiovascular risk factors improved risk stratification, enhancing the C-index from 0.67 to 0.73.

  • 4

    Baseline CAC provided limited prognostic value, with a minimal increase in C-index from 0.67 to 0.68, highlighting the importance of CAC progression.

  • 5

    The findings support the need for improved cardiovascular risk assessment tools for IBD patients, as conventional methods may underestimate their risk.

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