Noncardiac chest computerized tomography scan as a predictor for plaque presence in coronary artery.

IF 1.5 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Zipi Regev-Avraham, Ina Rozenfeld, Osamah Hussein, Adi Sharabi-Nov, Majdi Halabi
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引用次数: 0

Abstract

Background: Coronary artery calcium, a marker of coronary atherosclerosis, is often identified on noncoronary chest computed tomography (CT). We wanted to evaluate the correlation between the presence of coronary plaques in coronary artery catheterization and coronary calcifications as shown in noncardiac chest CT.

Methods: A retrospective case-control study consisting of cases (N = 63) and controls (N = 29), aged 18-70 years old, residing in northern Israel and treated in the Intensive Cardiac Care Unit of Ziv Medical Center, between January 2020 and November 2022. All participants underwent coronary catheterization and noncoronary CT scans in the 5 years before the catheterization procedure. Data were taken from the participants' electronic files while considering the potential of cardiovascular risk factors.

Results: The 92 participants had a mean age of 60.1 ± 10.3 years old. Multivariate logistic regression adjusted to age, sex, and hyperlipidemia showed that calcified coronary artery as shown on a previous noncardiac CT scan was positively and significantly associated with increasing risk of coronary plaque as presented in coronary catheterization: odds ratio = 5.93 (95% confidence interval: 1.85-19.07, P < 0.01) and was also associated with male sex who were more likely to have plaque on coronary catheterization than females: odds ratio = 3.77 (95% confidence interval: 1.29-11.32, P < 0.05).

Conclusion: Coronary calcifications on a previous noncoronary CT scan and sex are positively and significantly associated with coronary plaque risk as present in coronary catheterization. Coronary evaluation on CT scans is important for early detection of coronary disease. Early treatment can avoid coronary disease complications and increase patient survival.

非心脏胸部计算机断层扫描作为冠状动脉斑块存在的预测因子。
背景:冠状动脉钙化是冠状动脉粥样硬化的标志,经常在非冠状动脉胸部计算机断层扫描(CT)上被发现。我们想评估冠状动脉插管时冠状动脉斑块的存在与非心脏胸部CT显示的冠状动脉钙化之间的相关性。方法:一项回顾性病例对照研究,包括病例(N = 63)和对照组(N = 29),年龄18-70岁,居住在以色列北部,于2020年1月至2022年11月在Ziv医疗中心心脏重症监护病房接受治疗。所有参与者在导管置入前的5年内都接受了冠状动脉导管置入和非冠状动脉CT扫描。数据取自参与者的电子档案,同时考虑了潜在的心血管危险因素。结果:92例患者平均年龄60.1±10.3岁。经年龄、性别和高脂血症校正的多因素logistic回归显示,既往非心脏CT扫描显示的钙化冠状动脉与冠状动脉置管时出现冠状动脉斑块的风险增加呈正相关,比值比为5.93(95%可信区间:1.85-19.07,P < 0.01),且与男性相关,男性比女性更容易出现冠状动脉置管斑块。优势比= 3.77(95%可信区间:1.29 ~ 11.32,P < 0.05)。结论:先前非冠状动脉CT扫描的冠状动脉钙化和性别与冠状动脉导管检查中出现的冠状动脉斑块风险呈正相关。冠状动脉CT检查对早期发现冠状动脉疾病具有重要意义。早期治疗可避免冠心病并发症,提高患者生存率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Coronary artery disease
Coronary artery disease 医学-外周血管病
CiteScore
2.50
自引率
0.00%
发文量
190
审稿时长
6-12 weeks
期刊介绍: Coronary Artery Disease welcomes reports of original research with a clinical emphasis, including observational studies, clinical trials, translational research, novel imaging, pharmacology and interventional approaches as well as advances in laboratory research that contribute to the understanding of coronary artery disease. Each issue of Coronary Artery Disease is divided into four areas of focus: Original Research articles, Review in Depth articles by leading experts in the field, Editorials and Images in Coronary Artery Disease. The Editorials will comment on selected original research published in each issue of Coronary Artery Disease, as well as highlight controversies in coronary artery disease understanding and management. Submitted artcles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and​ peer-review by the editors and those invited to do so from a reviewer pool.
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