Coronary-artery Calcium Scores Using Electron Beam CT in Patients with Chronic Renal Failure.
10.3346/jkms.2005.20.6.994
- Author:
Chan Duck KIM
1
;
Ji Hyung CHO
;
Hyuk Joon CHOI
;
Min Hwa JANG
;
Hyeog Man KWON
;
Jun Chul KIM
;
Sun Hee PARK
;
Jong Min LEE
;
Dong Kyu CHO
;
Yong Lim KIM
Author Information
1. Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. ylkim@mail.knu.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Kidney Failure, Chronic;
Coronary-artery Calcium Score;
Coronary Vessels;
Tomography, X-Ray Computed;
Electron Beam CT (EBCT);
Calcification, Physiologic;
Arteriosclerosis;
Parathyroid Hormone
- MeSH:
Adolescent;
Adult;
Aged;
Calcinosis/etiology/metabolism/*radiography;
Calcium/blood/*metabolism;
Coronary Arteriosclerosis/etiology/metabolism/radiography;
Coronary Vessels/*metabolism;
Female;
Humans;
Kidney Failure, Chronic/complications/metabolism/*radiography/therapy;
Male;
Middle Aged;
Peritoneal Dialysis;
Renal Dialysis;
Research Support, Non-U.S. Gov't;
Risk Factors;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2005;20(6):994-999
- CountryRepublic of Korea
- Language:English
-
Abstract:
We evaluated the risk of coronary-artery disease in patients with chronic renal failure (CRF) by measuring the coronary-artery calcium scores with electron beam CT (EBCT). A total of 81 CRF patients were divided into three groups; pre-dialysis (group I, n=35), hemodialysis (group II, n=31) and peritoneal dialysis (group III, n=15). The several serum biochemical markers and calcium score levels by EBCT were determined. The Ca x P products were significantly higher in groups II (p<0.05) and III (p<0.01) than in group I. The serum calcium levels were significantly higher in group III than in both group I (p<0.01) and II (p<0.05). The serum calcium level in 15 patients with a calcium score > 400 was significantly higher than the 66 patients with a score < or =400 (p<0.01). The calcium score was significantly higher in the 15 patients with cardiovascular complications than in the 66 patients without cardiovascular complications (628.9+/-904.8 vs. 150.4+/-350.9, p<0.01). EBCT seemed to be a good diagnostic tool for evaluating the risk of coronary-artery disease ''noninvasively'' in CRF patients who are at increased risk of cardiovascular morbidity and mortality.
