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Titolo:
ELECTRON-BEAM TOMOGRAPHY IN CORONARY HEAR T-DISEASE - PREVALENCE AND DISTRIBUTION OF CALCIFICATION AND RELATIONSHIP TO CORONARY RISK-FACTORS IN 650 PATIENTS
Autore:
SCHMERMUND A; LANGE S; SEHNERT C; ALTMAIER K; BAUMGART D; GORGE G; ERBEL R; SEIBEL R; GRONEMEYER D;
Indirizzi:
UNIV ESSEN GESAMTHSCH KLINIKUM,KARDIOL ABT,HUFELANDSTR 55 D-45122 ESSEN GERMANY RUHR UNIV BOCHUM,ENTWICKLUNGS & FORSCH INST MIKRO THERAPIE GGMBH D-44799 BOCHUM GERMANY UNIV WITTEN HERDECKE,INST DIAGNOST & INTERVENT RADIOL D-45468 MULHEIMGERMANY
Titolo Testata:
Deutsche Medizinische Wochenschrift
fascicolo: 37, volume: 120, anno: 1995,
pagine: 1229 - 1235
Fonte:
ISI
Lingua:
GER
Soggetto:
ULTRAFAST COMPUTED-TOMOGRAPHY; ACUTE MYOCARDIAL-INFARCTION; ARTERY DISEASE; ATHEROSCLEROSIS; PROGRESSION; CALCIUM; DEATH; CT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
32
Recensione:
Indirizzi per estratti:
Citazione:
A. Schmermund et al., "ELECTRON-BEAM TOMOGRAPHY IN CORONARY HEAR T-DISEASE - PREVALENCE AND DISTRIBUTION OF CALCIFICATION AND RELATIONSHIP TO CORONARY RISK-FACTORS IN 650 PATIENTS", Deutsche Medizinische Wochenschrift, 120(37), 1995, pp. 1229-1235

Abstract

Objective: The extent of coronary calcification demonstrated by electron beam tomography was correlated with the individual cardiac risk profile. Patients and methods: The possible presence of coronary calcifications was studied by electron beam tomography (EBT) in 650 patients (526 men, 124 women; mean age 54 +/- 10 [28-81] years) with known or suspected coronary heart disease. Depending on the degree of density and the size of the lesion a score was calculated according to an international standard. Results: No calcification was shown to be present in202 patients (score of 0). A score of more than 0 was calculated in 73.8% of men and 48.4% of women. The average score was 227.8 +/- 24.8 in men, compared with 65.3 +/- 26.5 in women (P < 0.001). There were significantly more calcifications in older patients: Men aged 71-75 years had the highest score, 859.4, while the lowest, 9.6, was in those aged 36 to 40 years. The most important variables for the presence of calcification were age (relative risk per age group: 1.6), male sex (relative risk: 4.3), hypertension (relative risk: 2.4) and nicotine consumption (relative risk: 1.8). The median point score in patients without known risk factors was 1.3, with one known factor it was 7.2, and with three it was 48.0. The vessel segment most affected with calcification was the anterior interventricular branch with an average score of 84. Conclusion: Together with an evaluation of the risk profile EBT provided a better assessment of individual risk than conventional examination.

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Documento generato il 01/04/20 alle ore 17:52:58