{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:52:18Z","timestamp":1780480338407,"version":"3.54.1"},"reference-count":43,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["journalofcardiovascularct.com","clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiovascular Computed Tomography"],"published-print":{"date-parts":[[2024,5]]},"DOI":"10.1016\/j.jcct.2024.01.006","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T13:25:03Z","timestamp":1705929903000},"page":"233-242","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Changes in use of preventive medications after assessment of chest pain by coronary computed tomography angiography: A meta-analysis"],"prefix":"10.1016","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1010-2428","authenticated-orcid":false,"given":"Giuliano","family":"Generoso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1268-1491","authenticated-orcid":false,"given":"Leslee J.","family":"Shaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhanderson","family":"Cardoso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Blankstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3711-1754","authenticated-orcid":false,"given":"Marcio S.","family":"Bittencourt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"8","key":"10.1016\/j.jcct.2024.01.006_bib1","article-title":"Heart disease and stroke statistics\u20142022 update: a report from the American Heart Association","volume":"145","author":"Tsao","year":"2022","journal-title":"Circulation [Internet]"},{"issue":"21","key":"10.1016\/j.jcct.2024.01.006_bib2","doi-asserted-by":"crossref","first-page":"1724","DOI":"10.1016\/j.jacc.2008.07.031","article-title":"Diagnostic performance of 64-Multidetector Row coronary computed tomographic angiography for evaluation of coronary artery Stenosis in individuals without known coronary artery disease","volume":"52","author":"Budoff","year":"2008","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"19","key":"10.1016\/j.jcct.2024.01.006_bib3","doi-asserted-by":"crossref","first-page":"2008","DOI":"10.1001\/jama.2015.15629","article-title":"Statins for prevention of cardiovascular disease in adults: Evidence report and systematic review for the US preventive Services Task Force","volume":"316","author":"Chou","year":"2016","journal-title":"JAMA"},{"issue":"7","key":"10.1016\/j.jcct.2024.01.006_bib4","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1093\/eurheartj\/ehy813","article-title":"Efficacy and safety of aspirin for primary prevention of cardiovascular events: a meta-analysis and trial sequential analysis of randomized controlled trials","volume":"40","author":"Mahmoud","year":"2019","journal-title":"Eur Heart J"},{"issue":"3","key":"10.1016\/j.jcct.2024.01.006_bib5","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.jacc.2017.11.007","article-title":"Cardiovascular risk and statin Eligibility of Young adults after an MI: Partners YOUNG-MI registry","volume":"71","author":"Singh","year":"2018","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"4","key":"10.1016\/j.jcct.2024.01.006_bib6","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCIMAGING.115.004419","article-title":"Clinical outcomes after evaluation of stable chest pain by coronary computed tomographic angiography versus usual care: a meta-analysis","volume":"9","author":"Bittencourt","year":"2016","journal-title":"Circ Cardiovasc Imaging"},{"issue":"11","key":"10.1016\/j.jcct.2024.01.006_bib7","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1001\/jamainternmed.2017.4772","article-title":"Coronary computed tomography angiography vs functional stress testing for patients with suspected coronary artery disease: a systematic review and meta-analysis","volume":"177","author":"Foy","year":"2017","journal-title":"JAMA Intern Med"},{"issue":"14","key":"10.1016\/j.jcct.2024.01.006_bib8","doi-asserted-by":"crossref","first-page":"1771","DOI":"10.1016\/j.jacc.2017.02.011","article-title":"Coronary CTA in the evaluation of stable chest pain: clear benefits, but not for all","volume":"69","author":"Blankstein","year":"2017","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"16","key":"10.1016\/j.jcct.2024.01.006_bib9","doi-asserted-by":"crossref","first-page":"2058","DOI":"10.1016\/j.jacc.2019.07.085","article-title":"Guiding therapy by coronary CT angiography improves outcomes in patients with stable chest pain","volume":"74","author":"Adamson","year":"2019","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcct.2024.01.006_bib10","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","author":"Page","year":"2021","journal-title":"BMJ"},{"issue":"9","key":"10.1016\/j.jcct.2024.01.006_bib11","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1002\/clc.20256","article-title":"Reclassification of patients for aggressive cholesterol treatment: additive value of multislice coronary angiography to the National Cholesterol Education Program guidelines","volume":"31","author":"Scridon","year":"2008","journal-title":"Clin Cardiol"},{"issue":"22","key":"10.1016\/j.jcct.2024.01.006_bib12","doi-asserted-by":"crossref","first-page":"2195","DOI":"10.1161\/CIRCULATIONAHA.117.029994","article-title":"Impact of coronary computed tomography angiography findings on initiation of Cardioprotective medications","volume":"136","author":"Chang","year":"2017","journal-title":"Circulation"},{"issue":"1","key":"10.1016\/j.jcct.2024.01.006_bib13","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.atherosclerosis.2014.11.007","article-title":"Effects of cardiac medications for patients with obstructive coronary artery disease by coronary computed tomographic angiography: results from the multicenter CONFIRM registry","volume":"238","author":"Schulman-Marcus","year":"2015","journal-title":"Atherosclerosis"},{"issue":"9","key":"10.1016\/j.jcct.2024.01.006_bib14","doi-asserted-by":"crossref","first-page":"1961","DOI":"10.1016\/j.jcmg.2020.03.017","article-title":"CAD severity on cardiac CTA Identifies patients with most benefit of treating LDL-cholesterol to ACC\/AHA and ESC\/EAS Targets","volume":"13","author":"Mortensen","year":"2020","journal-title":"JACC Cardiovasc Imaging"},{"issue":"33","key":"10.1016\/j.jcct.2024.01.006_bib15","first-page":"2664","article-title":"[Influence of coronary CT angiography findings on prevention strategies of coronary artery disease]","volume":"95","author":"Li","year":"2015","journal-title":"Zhonghua Yixue Zazhi"},{"issue":"3","key":"10.1016\/j.jcct.2024.01.006_bib16","doi-asserted-by":"crossref","first-page":"174","DOI":"10.7326\/M14-2948","article-title":"Coronary computed tomography angiography versus Radionuclide myocardial perfusion imaging in patients with chest pain Admitted to Telemetry: a randomized trial","volume":"163","author":"Levsky","year":"2015","journal-title":"Ann Intern Med"},{"issue":"4","key":"10.1016\/j.jcct.2024.01.006_bib17","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1007\/s12350-015-0354-6","article-title":"Comparative effectiveness of coronary CT angiography vs stress cardiac imaging in patients following hospital admission for chest pain work-up: the Prospective First Evaluation in Chest Pain (PERFECT) Trial","volume":"24","author":"Uretsky","year":"2017","journal-title":"J\u00a0Nucl Cardiol Off Publ Am Soc Nucl Cardiol"},{"issue":"9985","key":"10.1016\/j.jcct.2024.01.006_bib18","doi-asserted-by":"crossref","first-page":"2383","DOI":"10.1016\/S0140-6736(15)60291-4","article-title":"CT coronary angiography in patients with suspected angina due to coronary heart disease (SCOT-HEART): an open-label, parallel-group, multicentre trial","volume":"385","year":"2015","journal-title":"Lancet Lond Engl"},{"issue":"10","key":"10.1016\/j.jcct.2024.01.006_bib19","article-title":"Changes in medical therapy and Lifestyle after Anatomical or functional testing for coronary artery disease","volume":"5","author":"Ladapo","year":"2016","journal-title":"J\u00a0Am Heart Assoc"},{"issue":"5","key":"10.1016\/j.jcct.2024.01.006_bib20","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/j.jacc.2011.09.066","article-title":"Patient management after noninvasive cardiac imaging results from SPARC (Study of myocardial perfusion and coronary anatomy imaging roles in coronary artery disease)","volume":"59","author":"Hachamovitch","year":"2012","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"4","key":"10.1016\/j.jcct.2024.01.006_bib21","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.jcct.2012.06.002","article-title":"Coronary CT angiography versus myocardial perfusion imaging for near-term quality of life, cost and radiation exposure: a prospective multicenter randomized pilot trial","volume":"6","author":"Min","year":"2012","journal-title":"J\u00a0Cardiovasc Comput Tomogr"},{"issue":"14","key":"10.1016\/j.jcct.2024.01.006_bib22","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.1016\/j.jacc.2017.01.046","article-title":"Functional testing or coronary computed tomography angiography in patients with stable coronary artery disease","volume":"69","author":"J\u00f8rgensen","year":"2017","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.jcct.2024.01.006_bib23","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.amjcard.2021.09.043","article-title":"Resource Utilization following coronary computed tomographic angiography and stress Echocardiography in patients presenting to the Emergency Department with chest pain","volume":"163","author":"Sturts","year":"2022","journal-title":"Am J Cardiol"},{"issue":"1","key":"10.1016\/j.jcct.2024.01.006_bib24","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.amjcard.2015.03.034","article-title":"Diagnostic and Therapeutic Usefulness of coronary computed tomography angiography in out-Clinic patients referred for chest pain","volume":"116","author":"Bom","year":"2015","journal-title":"Am J Cardiol"},{"issue":"5","key":"10.1016\/j.jcct.2024.01.006_bib25","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.jcmg.2012.11.016","article-title":"Changes in preventive medical therapies and CV risk factors after CT angiography","volume":"6","author":"Cheezum","year":"2013","journal-title":"JACC Cardiovasc Imaging"},{"issue":"7","key":"10.1016\/j.jcct.2024.01.006_bib26","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/j.amjcard.2009.05.024","article-title":"Impact of coronary computed tomographic angiography findings on the medical treatment and control of coronary artery disease and its risk factors","volume":"104","author":"LaBounty","year":"2009","journal-title":"Am J Cardiol"},{"issue":"14","key":"10.1016\/j.jcct.2024.01.006_bib27","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1001\/archinternmed.2011.204","article-title":"Impact of coronary computed tomographic angiography results on patient and physician behavior in a low-risk population","volume":"171","author":"McEvoy","year":"2011","journal-title":"Arch Intern Med"},{"issue":"4","key":"10.1016\/j.jcct.2024.01.006_bib28","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1161\/CIRCIMAGING.113.001564","article-title":"Coronary artery disease detected by coronary computed tomographic angiography is associated with intensification of preventive medical therapy and lower low-density lipoprotein cholesterol","volume":"7","author":"Hulten","year":"2014","journal-title":"Circ Cardiovasc Imaging"},{"issue":"4","key":"10.1016\/j.jcct.2024.01.006_bib29","first-page":"410","article-title":"Changes in medical management after coronary CT angiography","volume":"105","author":"Naue","year":"2015","journal-title":"Arq Bras Cardiol"},{"issue":"5","key":"10.1016\/j.jcct.2024.01.006_bib30","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/j.jcct.2018.07.001","article-title":"Coronary plaque characteristics in computed tomography and 2-year outcomes: the PREDICT study","volume":"12","author":"Yamamoto","year":"2018","journal-title":"J\u00a0Cardiovasc Comput Tomogr"},{"issue":"3","key":"10.1016\/j.jcct.2024.01.006_bib31","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.amjcard.2015.10.052","article-title":"Use of coronary computed tomographic angiography findings to modify statin and aspirin prescription in patients with Acute chest pain","volume":"117","author":"Pursnani","year":"2016","journal-title":"Am J Cardiol"},{"issue":"15","key":"10.1016\/j.jcct.2024.01.006_bib32","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1016\/j.jacc.2016.02.026","article-title":"Use of coronary computed tomographic angiography to guide management of patients with coronary disease","volume":"67","author":"Williams","year":"2016","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"2","key":"10.1016\/j.jcct.2024.01.006_bib33","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/j.jcmg.2019.04.021","article-title":"Preventive management of Nonobstructive CAD after coronary CT angiography in the Emergency Department","volume":"13","author":"Honigberg","year":"2020","journal-title":"JACC Cardiovasc Imaging"},{"issue":"1","key":"10.1016\/j.jcct.2024.01.006_bib34","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.repc.2020.04.011","article-title":"Coronary artery calcium scoring and cardiovascular risk reclassification in patients undergoing coronary computed tomography angiography","volume":"40","author":"Matos","year":"2021","journal-title":"Rev Port Cardiol"},{"issue":"5","key":"10.1016\/j.jcct.2024.01.006_bib35","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.jcct.2020.01.005","article-title":"Adoption of coronary artery disease - reporting and Data System (CAD-RADSTM) and observed impact on medical therapy and systolic blood pressure control","volume":"14","author":"Hull","year":"2020","journal-title":"J\u00a0Cardiovasc Comput Tomogr"},{"issue":"12","key":"10.1016\/j.jcct.2024.01.006_bib36","doi-asserted-by":"crossref","first-page":"2400","DOI":"10.1016\/j.jcmg.2021.05.022","article-title":"Reduction of myocardial infarction and all-cause Mortality associated to statins in patients without obstructive CAD","volume":"14","author":"\u00d8vrehus","year":"2021","journal-title":"JACC Cardiovasc Imaging"},{"key":"10.1016\/j.jcct.2024.01.006_bib37","doi-asserted-by":"crossref","first-page":"i4919","DOI":"10.1136\/bmj.i4919","article-title":"ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions","author":"Sterne","year":"2016","journal-title":"BMJ"},{"issue":"3","key":"10.1016\/j.jcct.2024.01.006_bib38","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1093\/eurheartj\/ehz425","article-title":"2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes","volume":"41","author":"Knuuti","year":"2020","journal-title":"Eur Heart J"},{"issue":"22","key":"10.1016\/j.jcct.2024.01.006_bib39","doi-asserted-by":"crossref","first-page":"e187","DOI":"10.1016\/j.jacc.2021.07.053","article-title":"2021 AHA\/ACC\/ASE\/CHEST\/SAEM\/SCCT\/SCMR guideline for the evaluation and diagnosis of chest pain","volume":"78","author":"Gulati","year":"2021","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"24","key":"10.1016\/j.jcct.2024.01.006_bib40","doi-asserted-by":"crossref","first-page":"e44","DOI":"10.1016\/j.jacc.2012.07.013","article-title":"2012 ACCF\/AHA\/ACP\/AATS\/PCNA\/SCAI\/STS guideline for the diagnosis and management of patients with stable Ischemic heart disease","volume":"60","author":"Fihn","year":"2012","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"11","key":"10.1016\/j.jcct.2024.01.006_bib41","first-page":"e596","article-title":"2019 ACC\/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology\/American heart association Task Force on clinical Practice guidelines","volume":"140","author":"Arnett","year":"2019","journal-title":"Circulation"},{"issue":"6","key":"10.1016\/j.jcct.2024.01.006_bib42","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.jcct.2022.07.002","volume":"16","author":"Cury","year":"2022","journal-title":"J\u00a0Cardiovasc Comput Tomogr"},{"key":"10.1016\/j.jcct.2024.01.006_bib43","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.atherosclerosis.2019.09.018","article-title":"Risk stratification of non-obstructive coronary artery disease for guidance of preventive medical therapy","volume":"290","author":"Hwang","year":"2019","journal-title":"Atherosclerosis"}],"container-title":["Journal of Cardiovascular Computed Tomography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934592524000170?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934592524000170?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T14:01:37Z","timestamp":1714312897000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1934592524000170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":43,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["S1934592524000170"],"URL":"https:\/\/doi.org\/10.1016\/j.jcct.2024.01.006","relation":{},"ISSN":["1934-5925"],"issn-type":[{"value":"1934-5925","type":"print"}],"subject":[],"published":{"date-parts":[[2024,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Changes in use of preventive medications after assessment of chest pain by coronary computed tomography angiography: A meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Cardiovascular Computed Tomography","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcct.2024.01.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}