{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T17:18:30Z","timestamp":1778692710495,"version":"3.51.4"},"reference-count":25,"publisher":"Sociedade Brasileira de Cardiologia","issue":"3","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  O progn\u00f3stico da doen\u00e7a arterial coronariana (DAC) n\u00e3o obstrutiva n\u00e3o est\u00e1 bem estabelecido. Dados comparativos entre angiotomografia coronariana (ATC) e angiografia coronariana invasiva (ACI) s\u00e3o limitados.  Objetivos  Comparar as informa\u00e7\u00f5es derivadas da ATC e da ACI na DAC n\u00e3o obstrutiva quanto \u00e0 detec\u00e7\u00e3o e aos desfechos cl\u00ednicos.  M\u00e9todos  Acompanhamos 4.004 pacientes adultos que realizaram ACI (n = 2.355) ou ATC (n = 1.649) por uma mediana de 9 anos. O desfecho prim\u00e1rio foi um composto de mortalidade por todas as causas, s\u00edndrome coronariana aguda\/infarto agudo do mioc\u00e1rdio e acidente vascular cerebral. Foi realizado pareamento por escore de propens\u00e3o para comparar os desfechos entre os grupos. O n\u00edvel de signific\u00e2ncia foi fixado em 5%.  Resultados  A taxa global de eventos foi de 6,9%. A ACI esteve associada a piores desfechos em compara\u00e7\u00e3o \u00e0 ATC (hazard ratio [HR] 0,54; intervalo de confian\u00e7a [IC] 95% 0,42-0,68; p &lt; 0,001). Pacientes com DAC n\u00e3o obstrutiva apresentaram piores desfechos do que aqueles sem DAC (HR 1,73; IC 95% 1,32-2,27; p &lt; 0,001). Achados coronarianos normais na ATC estiveram associados a melhores desfechos do que achados normais na ACI (HR 0,39; IC 95% 0,24-0,62; p &lt; 0,001). As taxas de eventos aumentaram proporcionalmente \u00e0 carga de placa. Em 1.187 pares pareados, a ATC esteve associada \u00e0 melhora da sobrevida (HR 0,57; IC 95% 0,42-0,78; p &lt; 0,001).  Conclus\u00e3o  A ATC reflete mais de perto os desfechos cl\u00ednicos do que a ACI. A DAC n\u00e3o obstrutiva apresenta risco substancial independentemente da modalidade de imagem.<\/jats:p>","DOI":"10.36660\/abc.20250702","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T17:04:07Z","timestamp":1778691847000},"source":"Crossref","is-referenced-by-count":0,"title":["Compara\u00e7\u00e3o entre Angiotomografia Coronariana e Angiografia Coronariana Invasiva na Doen\u00e7a Arterial Coronariana N\u00e3o Obstrutiva: O Estudo Brazilian Coronary ARtery Disease (BARD)"],"prefix":"10.36660","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2451-5570","authenticated-orcid":false,"given":"Prot\u00e1sio Lemos Da","family":"Luz","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5470-0326","authenticated-orcid":false,"given":"Desiderio","family":"Favarato","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre A.","family":"Abizaid","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Antonio Machado","family":"C\u00e9sar","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Vicente","family":"Serrano","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f4nio Carlos Palandri","family":"Chagas","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4505-3344","authenticated-orcid":false,"given":"Carlos E.","family":"Rochitte","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0964-6222","authenticated-orcid":false,"given":"Marco A.","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22636","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"12","key":"ref1","article-title":"Updates in the Management of Coronary Artery Disease: A Review Article","volume":"15","author":"Bansal 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