Influence of coronary artery calcium score results for the reduction of the global cardiovascular risk
OPEN Polskie Archiwum Medycyny Wewnetrznej | 28 Jan 2014
A Młynarska, R Młynarski and M Sosnowski
INTRODUCTION There is no research that evaluated the tendency to reduce the traditional cardiovascular risk in patients with different values of coronary artery calcium score (CACS). The aim of the study was to evaluate the influence of the CACS examination for the reduction of the global cardiovascular risk. PATIENTS AND METHODS Research was conducted as prospective single center study. 180 subjects (aged 58.8) were included in the trial. Calcifications in computed tomography were calculated using the Agatston scale and “2DVScore with Color” semiautomatic presets by 2 experts. The selected cardiovascular risk factors were analyzed along with clinical procedures. RESULTS Invasive coronary angiography was performed on 60 patients (33.2%). Among these, the invasive examination did not show significant changes in the coronaries of 26 patients (43.3%), while in the other 26 patients (43.3%), coronary angioplasty (stents) were performed. Qualification for cardiac surgery without stents implantation was taken for eight subjects (13.3%). CABG procedures were performed exclusively in group III who had a CACS≥400AU; while angioplasty was performed 10 times more frequently in group III as compared to group II. A significant correlation between the CACS and cardiovascular risks was observed related to age, weight, systolic and diastolic blood pressure. CONCLUSIONS The CACS results let to invasive coronary angioplasty to be performed in selected patients, or in some cases to qualify patients for coronary artery bypass grafts. This can strengthen the role of CACS as support for classic CVR risk evaluation. Additional continuing education about the role of the CACS should be implemented.
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