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Value of multislice CT coronary arteries calcification scoring in the prediction of coronary arteries pathology in chronic kidney disease patients
Authors:Mohamed Fayez Bazeed  Mohamed Salah Moselhey  Adel Al Masswary
Institution:1. Department of Diagnostic Radiology, Faculty of Medicine, Mansoura University, Egypt;2. Department of Cardiology, Faculty of Medicine, Suez Canal University, Egypt;3. Department of Cardiology, Armed Forces Hospital Southern Region, KSA, Saudi Arabia
Abstract:PurposeTo determine the value of multislice CT coronary artery calcification (CAC) scoring in the prediction of future cardiac events in known chronic kidney disease (CKD) patients using conventional coronary angiography as the standard reference.Patients and methodsFifty-eight patients with CKD on hemodialysis underwent CT CAC scoring using multislice scanner and conventional coronary angiography. Results of CAC scoring were compared to the findings of conventional coronary angiography.ResultsMean CAC scoring in patients with significant coronary arteries stenotic lesions was higher than in patients with no significant coronary arteries stenotic lesions with significant difference (P < 0.001).Mean patient CAC scoring was strongly correlated with the number of coronary arteries with significant stenotic lesions (r = 0.910).ConclusionCT CAC scoring is a non-invasive technique which can be used in the evaluation and follow up of CKD patients’ coronary arteries without the use of contrast medium reducing the number of invasive coronary angiography needed.
Keywords:Coronary angiography  CT CAC scoring  Chronic kidney disease  CAC"}  {"#name":"keyword"  "$":{"id":"cekeyw50"}  "$$":[{"#name":"text"  "_":"coronary artery calcification  CKD"}  {"#name":"keyword"  "$":{"id":"cekeyw70"}  "$$":[{"#name":"text"  "_":"chronic kidney disease  CVD"}  {"#name":"keyword"  "$":{"id":"cekeyw90"}  "$$":[{"#name":"text"  "_":"cardiovascular disease
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