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Incidental Coronary Calcification Quality Improvement Project
Not Recruiting
Trial ID: NCT04789278
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.
Official Title
Incidental Coronary Calcification Quality Improvement Project
Stanford Investigator(s)
Alexander Tarlochan Singh Sandhu
Assistant Professor of Medicine (Cardiovascular Medicine)
Eligibility
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
Intervention(s):
other: Notification
Not Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305