The influence of high exercise levels on the coronary atherosclerosis profile by computed tomography angiography and outcomes

Figures

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  The influnece of high exercise levels on coronary atherosclerosis by coronary computed tomography angiography.

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  Fig. 1a. Coronary stenosis severity (CADRADS): There was no difference between participants with a high (H) exercise levels compared to sedentary controls (CR) (p = 0.394). CADRADS 0 = no CAD, 1 = minimal coronary stenosis 1–24 %, 2 = mild stenosis 25–49 %, 3 = moderate, 50–69 %, group 4 = severe stenosis 70–99 % and 100 % occlusions (CADRADS 4 + 5). Y-axis: counts (N).

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  Fig. 1b. The coronary artery calcium score (CAC) was not different between subjects with a high exercise volume and sedentary controls (CR) (p = 0.820). CAC is displayed in Agatston Units (AU).

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  Fig. 2. 59 years-old-male cyclist with a high-level of training over more than 10 years, no chest pain but referral to coronary CTA due to polytopic ectopic ventricular extrasystole during exercise. CTA showed a predominantly calcified plaque in the proximal LAD (arrows) with less than 50 % stenosis (CADRADS 2). 1 CVRF: arterial hypertension. Left: 3D volume rendering technique (VRT) and right: curved multiplanar reformation (cMRP) showing the left anterior descending (LAD) coronary artery.

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  Fig. 2b. 41-year-old sedentary male with 2 CVRF (smoking and dyslipidemia), and a high-risk plaque (HRP) in the proximal LAD (yellow arrow). Low attenuation plaque (LAP) less than 30 HU, positive remodelling, Napkin-Ring sign and 46 % diameter stenosis (CADRADS 2). Left: curved multiplanar reformation (cMPR) and right: 3D Volume rendering technique (VRT) spyder view.