Evaluation of the relationship between coronary artery calcium score and coronary artery disease by multislice computed tomography

Year 2013, Volume: 40 Issue: 4, 632 - 636, 01.12.2013

Tuba Kartal Alpaslan Yavuz Mehmet Güli Çetinçakmak Cemil Göya Metin Çubuk

https://doi.org/10.5798/diclemedj.0921.2013.04.0346

Abstract

Objective: Coronary artery disease (CAD) is the major cause of deaths in developed countries and early diagnosis and treatment can reduce the mortality and morbidity. In this study, we aimed to investigate the multislice computed tomography (MSCT) evaluation the relationship between well-established risk factors, angiographic features and coronary artery calcium-scores. Methods: Coronary artery calcium-scores and angiography features of 141 CAD patients achieved by MSCT were evaluated retrospectively. Classical coronary risk factors of patients including hyperlipidemia, hypertension, diabetes, family history of CAD and history of smoking were recorded. Calcium-score of patients based on the classification of Agatston was calculated. Results: The mean age of 141 patients was 56±12 years (Range, 17-80). In 33 patients (23%), the percentages of coronary artery stenosis detected by MDCT were over 50%. Diabetes mellitus and hypertension were the sole coronary risk factors that had statistically significant correlation (p=0,023 and p

Keywords

Coronary artery disease, calcium score, multislice computed tomography

Koroner arter kalsiyum skoru ile koroner arter hastalığı arasındaki ilişkinin çok kesitli bilgisayarlı tomografi ile değerlendirilmesi

Abstract

Amaç: Koroner arter hastalığı (KAH) gelişmiş ülkelerde en sık ölüm nedeni olup, erken tanı ve tedavisi mortalite ve morbidite oranlarını azaltmada büyük önem taşımaktadır. Biz bu çalışmada multidetektör bilgisayarlı tomografi (MDBT) tetkiki ile KAH olgularındaki klasik risk faktörleri, anjiografi bulguları ve koroner arter kalsiyum skoru arasındaki ilişkinin değerlendirilmesini amaçladık. Yöntemler: Çalışmamızda 141 koroner arter hastasına ait MDBT ile elde edilmiş koroner arter kalsiyum skorları ve anjiografi bulguları retrospektif olarak değerlendirildi. Hastalarda hiperlipidemi, hipertansiyon, diyabet, ailesel koroner arter hastalığı ve sigara kullanma öyküsü gibi klasik koroner risk faktörlerinin varlığı kaydedildi. Hastaların kalsiyum skoru Agatston sınıflamasına göre hesaplandı. Bulgular: Çalışmaya alınan 141 hastanın ortalama yaş 56±12 olup yaş aralığı 17 ile 80 arasında değişmekteydi. Otuz üç (%23) hastada MDBT ile saptanan koroner arter darlık yüzdeleri %50\'nin üzerinde idi. Diyabet ve hipertansiyon; koroner kalsiyum skoru ile istatistiksel olarak anlamlı korelasyon gösteren (sırasıyla p=0,023 ve p

Keywords

Koroner arter hastalığı, kalsiyum skoru, çok detektörlü bilgisayarlı tomografi

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