Stanford, California 94066

  • Coronary Artery Disease

Purpose:

This is a multi-center, randomized quality improvement project. At least 200 statin-naïve patients without a history of atherosclerotic cardiovascular disease with incidental coronary artery calcium (CAC) on a prior non-gated chest CT will be enrolled across the Stanford Healthcare System and the Palo Alto Veteran's Affairs Healthcare System. Patients will be randomized in a 1:1 fashion to notification or usual care arms. The primary aim of this project is to estimate the increase in 6-month statin prescription among statin-naïve patients without a history of atherosclerotic cardiovascular disease with incidental CAC on a non-gated chest CT who are randomized to receive notification of their findings vs. usual care.


Criteria:

Inclusion Criteria: - Non-gated chest CT between 2014-2019 - The presence of CAC confirmed by manual review by an experienced radiologist - Stanford affiliated primary care provider or endocrinologist for Stanford healthcare system patients and VA primary care provider for VA patients with at least 1 encounter since 2018 Exclusion Criteria: - Current or prior statin or PCSK9 inhibitor therapy - Prior diagnosis of ASCVD (coronary artery disease, peripheral arterial disease, cerebrovascular disease, coronary/peripheral revascularization) - Prior coronary imaging (cardiac CT, invasive coronary angiography) - Dementia - Metastatic cancer or active cancer undergoing chemotherapy - History of medical nonadherence


NCT ID:

NCT04789278


Primary Contact:

Principal Investigator
Alexander T Sandhu, MD, MS
Stanford University


Backup Contact:

N/A


Location Contact:

Stanford, California 94066
United States



There is no listed contact information for this specific location.

Site Status: N/A


Data Source: ClinicalTrials.gov

Date Processed: June 21, 2021

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