Systemic sclerosis & Raynaud's

Subclinical coronary artery calcification in systemic sclerosis using high-resolution chest CT: Identification, extent, and disease-specific risk factors

Semin Arthritis RheumPublished Cross-sectional study

Authors' conclusion

Additionally, digital ulcers appear to be a novel risk factor for subclinical CAD in these patients.

Study context

Population
Patients with systemic sclerosis (SSc) with high-resolution computed tomography (HRCT) chest scans, compared with a background population from two cardiac CT screening cohorts
Participants
394 SSc patients
Exposure
SSc patients vs background population
  • SScn = 394
Outcome
Proportion with Agatston CAC score ≥100
Methodological detailslogistic regression adjusted for cardiovascular risk factors, HRCT coronary artery calcification (CAC) scores calibrated with a conversion factor
  • Logistic regression adjusted for cardiovascular risk factors
  • HRCT CAC scores calibrated with a conversion factor

Main finding

As reported in the abstract

CAC score ≥100

P < 0.001

Observational data: associations, not effects.

Further findings

CAC score of 0 (HRCT chest scans, SSc patients)

CAC score of 0
116 (29.4 %)

Disease-specific risk factors independently associated with CAC score ≥100

Disease duration, OR
1.05 (95% CI 1.01-1.09)
History of digital ulcers, OR
2.25 (95% CI 1.31; 3.86)

Original publication

Subclinical coronary artery calcification in systemic sclerosis using high-resolution chest CT: Identification, extent, and disease-specific risk factors. Semin Arthritis Rheum. Published 10 April 2025. doi:10.1016/j.semarthrit.2025.152723

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