STM: How to anticipate risks before heart disease occurs

A study has shown that researchers have developed a new, non-invasive method that can detect inflammation in human arteries and may prevent heart disease from becoming severe before it can be treated.

STM: How to anticipate risks before heart disease occurs

Scanning coronary artery stenosis cannot predict heart disease

For decades, doctors have relied on CT scans and angiography to detect coronary artery disease, the leading cause of heart attacks. The focus of these tests is to find blood vessels that shrink due to the contraction of cholesterol and other substances called plaques, thereby limiting blood flow to the heart. But they are far from perfect. Usually, patients with coronary artery stenosis can only be found when the condition is severe. Arterial stenosis is also not a sign of a heart attack.

Conversely, when inflammation causes blockages in the arteries and causes a heart attack, it becomes the real culprit. One of the researchers, Keith Channon, a professor of cardiovascular medicine at Oxford University, told reporters in a conference call before the article was published in Science Translational Medicine: "So far, there is no way to detect inflammation of the coronary arteries. This is ours. Where the research results are innovative."

CT fat decay index can scan signs of vascular inflammation

This newly developed test process works by analyzing changes in adipose tissue around the artery. The researchers say that when fat is close to an inflamed artery, the fat becomes thinner, with less fat and higher moisture. Using the CT Fat Attenuation Index (FAI), the researchers found signs of inflammation in existing CT scans.

STM: How to anticipate risks before heart disease occurs

Perivascular FAI uses CT imaging of adipose tissue around the coronary arteries to assess fat cell size and fat content. Larger, more mature adipocytes exhibit greater lipid accumulation, which is inversely related to FAI. Inflammation reduces lipid accumulation and slows down adipocyte differentiation. Unstable plaques after myocardial infarction have larger perivascular FAI values ​​than stable plaques, and FAI values ​​are greatest directly adjacent to inflamed coronary arteries. Perivascular FAI testing may be a useful, non-invasive method of monitoring vascular inflammation and the development of coronary artery disease.

This indicator can identify stable coronary atherosclerotic plaques or ruptured plaques in patients with recent heart attacks. They also found that they can track changes in fat around the blood vessels over time, allowing doctors to detect early signs of disease and prevent them with interventions such as cholesterol-lowering statins.

More research is needed before researchers can master this method to predict future heart attacks and save lives. Coralambos Antoniades, an associate professor of cardiovascular medicine at Oxford University, said: "If this can be confirmed in larger studies, then an extra option will be provided in addition to standard CT angiography. I am optimistic and believe it. Being able to predict future events. However, we need to wait for the completion of the study."

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