An analysis of clinical factors for coronary artery calcification score
10.3760/cma.j.issn.0578-1426.2009.04.009
- VernacularTitle:冠状动脉钙化积分相关临床因素分析
- Author:
Huinan ZHU
;
Yong HUO
;
Jing ZHOU
;
Hailiang WEI
;
Lin TONG
;
Songyun CHU
;
Xiaoning HAN
- Publication Type:Journal Article
- Keywords:
Coronary artery disease;
Heart valvular disease;
Coronary artery calcification score
- From:
Chinese Journal of Internal Medicine
2009;48(4):287-290
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the correlating clinical factors of coronary artery calcification score(CACS).Methods 141 patients suspected of coronary artery disease were included.They underwent multi-slice row computed tomography,pulse wave velocity ( PWV ),UCG and blood biochemistry within a period of 3 months.The subjects were divided into three groups according to CAC score:A(CACS =0-10),B ( CACS = 11-400),C ( CACS > 400).Results CACS was significantly associated with age,history of hypertension and diabetes mellitus.It was also associated with the presence of mitral annular calcification and aortic valve calcification,low ankel brachial pressure index(ABI) and high mean artery pressure(MAP) as well as high values of brachial ankel PWV (baPWV) and Upstroke time (UT).Muhifactorial logistic regression analysis showed that the presence of aortic valve calcification and mitral annular calcification,the history of diabetes mellitus and high value of UT were independently correlated with severe coronary artery calcification.Conclusions Aortic valve calcification,mitral annular calcification,history of diabetes mellitus,high value of UT were independently correlated with severe coronary artery calcification.Measurement of PWV and UCG should be performed before muhi-slicerow computed tomography,because the assessment of coronary artery lumen narrowing with multi-slice row computed tomography can not be carried out accurately in the presence of severe coronary artery calcification.
