{"title":"[多排CT评价2型糖尿病患者冠状动脉钙评分的临床价值]。","authors":"Makiko Nishioka, Toru Sakuma, Hironari Sano, Kazunori Utsunomiya, Toshihiko Agata, Keisuke Shimizu, Naoko Tajima","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>According to recent studies, multidetector-row CT (MDCT) with a retrospective ECG-gating reconstruction algorithm shows a high correlation with coronary artery calcium score determined using electron-beam CT. Diabetes leads to many macrovascular complications, including coronary artery disease. The aim of this study was to evaluate risk factors for cardiac macroangiopathy in type 2 diabetes using MDCT.</p><p><strong>Materials and methods: </strong>An observational cross-sectional study was performed in 90 patients with diabetes mellitus. Coronary calcium data was acquired by MDCT (SOMATOM Volume Zoom, Siemens AG, Medical Solutions, Germany). Physical examinations, laboratory data, glycemic control, and control of other risk factors were analyzed.</p><p><strong>Results: </strong>The coronary artery calcium score increased with age. Multivariant analysis revealed that the coronary calcium score was closely correlated with electrocardiogram evaluation and control of hypertension.</p><p><strong>Conclusions: </strong>Coronary artery calcium score as determined by MDCT can be used as a screening radiological examination for cardiac macroangiopathy in diabetes patients with electrocardiogram abnormality and hypertension.</p>","PeriodicalId":19251,"journal":{"name":"Nihon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica","volume":"64 5","pages":"288-93"},"PeriodicalIF":0.0000,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Clinical usefulness of multidetector-row CT to evaluate coronary artery calcium score in type 2 diabetes].\",\"authors\":\"Makiko Nishioka, Toru Sakuma, Hironari Sano, Kazunori Utsunomiya, Toshihiko Agata, Keisuke Shimizu, Naoko Tajima\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>According to recent studies, multidetector-row CT (MDCT) with a retrospective ECG-gating reconstruction algorithm shows a high correlation with coronary artery calcium score determined using electron-beam CT. Diabetes leads to many macrovascular complications, including coronary artery disease. The aim of this study was to evaluate risk factors for cardiac macroangiopathy in type 2 diabetes using MDCT.</p><p><strong>Materials and methods: </strong>An observational cross-sectional study was performed in 90 patients with diabetes mellitus. Coronary calcium data was acquired by MDCT (SOMATOM Volume Zoom, Siemens AG, Medical Solutions, Germany). Physical examinations, laboratory data, glycemic control, and control of other risk factors were analyzed.</p><p><strong>Results: </strong>The coronary artery calcium score increased with age. Multivariant analysis revealed that the coronary calcium score was closely correlated with electrocardiogram evaluation and control of hypertension.</p><p><strong>Conclusions: </strong>Coronary artery calcium score as determined by MDCT can be used as a screening radiological examination for cardiac macroangiopathy in diabetes patients with electrocardiogram abnormality and hypertension.</p>\",\"PeriodicalId\":19251,\"journal\":{\"name\":\"Nihon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica\",\"volume\":\"64 5\",\"pages\":\"288-93\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2004-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nihon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nihon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
[Clinical usefulness of multidetector-row CT to evaluate coronary artery calcium score in type 2 diabetes].
Purpose: According to recent studies, multidetector-row CT (MDCT) with a retrospective ECG-gating reconstruction algorithm shows a high correlation with coronary artery calcium score determined using electron-beam CT. Diabetes leads to many macrovascular complications, including coronary artery disease. The aim of this study was to evaluate risk factors for cardiac macroangiopathy in type 2 diabetes using MDCT.
Materials and methods: An observational cross-sectional study was performed in 90 patients with diabetes mellitus. Coronary calcium data was acquired by MDCT (SOMATOM Volume Zoom, Siemens AG, Medical Solutions, Germany). Physical examinations, laboratory data, glycemic control, and control of other risk factors were analyzed.
Results: The coronary artery calcium score increased with age. Multivariant analysis revealed that the coronary calcium score was closely correlated with electrocardiogram evaluation and control of hypertension.
Conclusions: Coronary artery calcium score as determined by MDCT can be used as a screening radiological examination for cardiac macroangiopathy in diabetes patients with electrocardiogram abnormality and hypertension.
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