medigraphic.com
ISSN 1561-2937 (Print)

2014, Number 1

<< Back Next >>

Rev Cubana Cardiol Cir Cardiovasc 2014; 20 (1)

Calcium scoring. Indicator in the diagnosis of ischemic heart disease

Elvirez GÁ, González TP

Language: Spanish
References: 24
Page:
PDF size: 568.93 Kb.


ABSTRACT

Introduction: The CT scan (64 slices) and coronary calcium test (TCC) can improve risk stratification of patients susceptible to ischemic cardiovascular events. The latter should be integrated in to an overall assessment of cardiovascular risk in order to classify subjects asymptomatic.
Objective: Identify the level of coronary calcium and evaluate its predictive value and working guidelines regarding the risk obtained.
Methods: An observational descriptive cross sectional study was performed.103 patients with asymptomatic coronary disease risk were admitted (70 women, average 57.3 years, range45-74years) in the High Tech Center Sucre state, Venezuela, from March to December 2008.
Resulted: Hyperlipidemia group end the majority of patients with a positive coronary calcium test(80.58%). The largest number of patients was stratified with moderate risk of coronary heart disease and low probability of significant coronary artery disease (25.71% for females and 36.36%formales).
Conclusions: The predictive value of the test and the guidelines to considering monitoring patients were evaluated. The technique is recommended as a method of coronary calcium screening for coronary risk stratify andselect those with calcified plaques that will benefit from early medical treatment.


REFERENCES

  1. Leschka S, Alkadhi H, Plass A, Desbiolles L, Grunenfelder J, Marincek B, et al. Accuracy of MSCT coronary angiography with 64-slice technology first experience. Eur Heart J. 2005; 26:1482-7.

  2. Garber M. Estableciendo y determinando el valor de la calcificación de las arterias coronarias por medio del TCMD en el riesgo cardiovascular moderado del paciente asintomático como herramienta del chequeo cardiológico.2006. Revista electrónica de portales médicos.com. Disponible en: http://www.portalesmédicos.com

  3. Rumberger JA, Simons DB, Fitzpatrick LA, Sheedy PF, Schwartz RS. Coronary artery calcium areas by electron beam computed tomography and coronary atherosclerotic plaque area a histopathologic correlative study. Circulation. 1995;92:2157-62.

  4. Hausleiter J, Meyer T, Hadamitzky M, Kastrati A, Martinoff S, Schömig A. Prevalence of noncalcified coronary plaques by 64-slice computed tomography in patients with an intermediate risk for significant coronary artery disease. J Am Coll Cardiol. 2006; 48:312-8.

  5. Lakoski S, Greenland P, Wong ND, Schreiner PJ, Herrington DM, Kronmal RA, et al. Coronary Artery Calcium Scores and Risk for Cardiovascular Events in Women Classified as “Low Risk” Based on Framingham Risk Score. Arch Intern Med. 2007; 167:2437-42.

  6. Leber AW, Becker A, Knez A, von Ziegler F, Sirol M, Nikolaou K, et al. Accuracy of 64-slice computed tomography to classify and quantify plaque volumes in the proximal coronary system: a comparative study using intravascular ultrasound. J Am Coll Cardiol. 2006; 47:672-7.

  7. Lori E, Bendinelli S, Faggiano P. Coronary artery calcium identified by multislice TC as marker of early coronary artery disease. Monaldi Arch Chest Dis. 2003; 60:63-72.

  8. Hecht HS, Budoff MJ, Berman DS, Ehrlich J, Rumberger JA. Coronary artery calcium scanning: Clinical paradigms for cardiac risk assessment and treatment. Am Heart J. 2006; 151:1139-46.

  9. Pletcher MJ, Tice JA, Pignone M, McCulloch C, Callister TQ, Browner WS. What does my patient's coronary artery calcium score mean? Combining information from the coronary artery calcium score with information from conventional risk factors to estimate coronary heart disease risk. BMC Med. 2004; 2:31.

  10. Thompson BH, Stanford W. Update on using coronary calcium screening by computed tomography to measure risk for coronary heart disease. Int J Cardiovasc Imaging. 2005;21:39-53.

  11. Raff GL, Gallagher MJ, O’Neill WW, et al. Immediate coronary artery computed tomographic angiography rapidly and definitively excludes coronary artery disease in low-risk acute chest pain (abstr). J Am Coll Cardiol. 2006;47(Suppl A):114A.

  12. Manson JE, Allison MA, Rossouw JE, Carr JJ, Langer RD, Hsia J, et al. Estrogen Therapy and coronary-artery calcification. NEJM. 2007; 356:2591-602.

  13. González R. Como librarse de los Hábitos Tóxicos. Rev. Cubana de Med. Gen. Integral. 2004; 15:253-84.

  14. Manente D, Pangaro M. Nuevas tecnologías aplicadas a la evaluación del riesgo cardiovascular. Ateneo del Consejo de Epidemiología SAC. 2008. Disponible en: http://www.sac.com.ar/ateneos/ateneo_epidemiologia_2008_3.html.

  15. James I. Cleeman, MD; Scott M. Grundy, MD, PhD. National Cholesterol Education Program (J.I.C.), National Heart, Lung, and Blood Institute, Bethesda, Md, and the Center for Human Nutrition (S.M.G.), University of Texas Southwestern Medical Center at Dallas. Circulation. 1997; 95:1646-50.

  16. O´Donnel CJ, Elosua R. Factores de riesgo cardiovascular. Perspectivas derivadas del Framingham Heart Study. Revista española de Cardiología. 2008; 61:299-310.

  17. Bermudez-Pirela, V, Souki, A, Cano-Ponce, C, Bermúdez-Arias F, Mengual-Moreno E, Leal-Gonzalez E, et al. Ciprofibrate diminishes NON-HDLc and improves HDLc in patients with Frederickson type IV dyslipidemia phenotype. Am J Ther. 2005; 24, no.2, p.10-16.

  18. Valeff E, Amarilla G, Righetti J, Mijailowsky N, Colominas G, López-Santi R, et al. Tabaquismo en prevención secundaria. Resultados preliminares de la encuesta TOP`S. Comité de Epidemiología y Prevención y CETIFAC, Federación Argentina de Cardiología, Buenos Aires, Argentina. 4to.Congreso Virtual de Cardiología 2005. Disponible en: http://www.fac.org.ar/ccvc/llave/tl428/tl428.pdf .

  19. Villar F. La Prevención cardiovascular en España: Promoviendo el uso de las recomendaciones. Rev. Esp. Salud Pública [online]. 2004; 78:421-34.

  20. Morcillo C, Valderas JM, Roca JM, Oliveró R, Núñez C, Sánchez M, et al. La determinación de calcio coronario con tomografía computarizada en la evaluación del riesgo cardiovascular: un estudio descriptivo. Rev Esp Cardiol. 2007; 60:268-75.

  21. Conde H, Obregón A, Aroche R, Ravelo K. Tomografía Axial Computarizada multicorte en cardiología. Revista Investigaciones Medicoquirúrgicas, Vol I, Num.9, 2007. Disponible en: http://www.sld.cu/galerias/pdf/sitios/cimeq/rev_invest_medico quirúrgicas_2007_vol_1-9-_17

  22. Vliegenthart R, Oudkerk M, Hofman A, Oei HH, van Dijck W, van Rooij FJ, et al. Coronary calcification improves cardiovascular risk prediction in the elderly. Circulation. 2005; 112:572-7.

  23. Klem I, Heitner JF, Shah DJ, Sketch MH Jr, Behar V, Weinsaft J, et al. Improved detection of coronary artery disease by stress perfusion cardiovascular magnetic resonance with the use of delayed enhancement infarction imaging. J Am Coll Cardiol. 2006; 47:1630-8.

  24. Detrano R1, Guerci AD, Carr JJ, Bild DE, Burke G, Folsom AR, et al. Coronary Calcium as a Predictor of Coronary Events in Tour Racialo Ethnic Groups. N Engl J Med. 2008; 358:1336-45.




2020     |     www.medigraphic.com