Differences in prevalence and extent of coronary artery calcium detected by ultrafast computed tomography in asymptomatic men and women

作者: Warren R. Janowitz , Arthur S. Agatston , Glenn Kaplan , Manuel Viamonte

DOI: 10.1016/0002-9149(93)90668-3

关键词: CardiologyCalciumIncidence (epidemiology)MedicineCoronary artery diseaseAutopsyVascular diseaseCoronary atherosclerosisPopulationInternal medicineAsymptomaticCardiology and Cardiovascular Medicine

摘要: Abstract Coronary artery calcium is a marker of atherosclerosis in asymptomatic subjects. Ultrafast ® computed tomography (CT) can detect and quantify coronary calcium, simply noninvasively, with greater sensitivity than other techniques. The prevalence extent large population men women were measured compared. studies performed an 1,396 male 502 female subjects (age range 14 to 88 years). the distribution total scores (which reflect amount present) determined compared for at 5- 10-year intervals. was half that men, until age 60 years when difference diminished. mean score distributions between ages 40 69 virtually identical those 50 79. quantitative data obtained by CT showed very close agreement autopsy calcium. sensitive technique measure both women. differences appear be parallel observed clinical incidence disease may have impact on treatment because it used provide objective evidence atherosclerosis.

参考文章(21)
Stern D, Blankenhorn Dh, Calcification of the coronary arteries. American Journal of Roentgenology. ,vol. 81, pp. 772- ,(1959)
ALAN G. BARTEL, JAMES T. CHEN, ROBERT H. PETER, VICTOR S. BEHAR, YIHONG KONG, RICHARD G. LESTER, The significance of coronary calcification detected by fluoroscopy. A report of 360 patients. Circulation. ,vol. 49, pp. 1247- 1253 ,(1974) , 10.1161/01.CIR.49.6.1247
Jonathan N Tobin, Sylvia Wassertheil-Smoller, John P Wexler, Richard M Steingart, Nancy Budner, Lloyd Lense, Joseph Wachspress, Sex Bias in Considering Coronary Bypass Surgery Annals of Internal Medicine. ,vol. 107, pp. 19- 25 ,(1987) , 10.7326/0003-4819-107-1-19
DAVID H. BLANKENHORN, CORONARY ARTERIAL CALCIFICATION A REVIEW The American Journal of the Medical Sciences. ,vol. 242, pp. 1- 10 ,(1961) , 10.1097/00000441-196107000-00001
Robert D. Rifkin, Alfred F. Parisi, Edward Folland, Coronary calcification in the diagnosis of coronary artery disease American Journal of Cardiology. ,vol. 44, pp. 141- 147 ,(1979) , 10.1016/0002-9149(79)90263-7
Thomas H. Loecker, Robert S. Schwartz, Charles W. Cotta, James R. Hickman, Fluoroscopic coronary artery calcification and associated coronary disease in asymptomatic young men Journal of the American College of Cardiology. ,vol. 19, pp. 1167- 1172 ,(1992) , 10.1016/0735-1097(92)90319-I
Yoshiaki Masuda, Shigenori Naito, Yutaka Aoyagi, Zenjyu Yamada, Takehiko Uda, Nobuhiro Morooka, Shigeru Watanabe, Yoshiaki Inagaki, Coronary artery calcification detected by CT: clinical significance and angiographic correlates. Angiology. ,vol. 41, pp. 1037- 1047 ,(1990) , 10.1177/000331979004101203