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Ordinal Scoring of Coronary Artery Calcification by Computed Tomography Pulmonary Angiography in Acute Pulmonary Embolism.

Ordinal Scoring of Coronary Artery Calcification by Computed Tomography Pulmonary Angiography in Acute Pulmonary Embolism.

Authors :
Aybay MN
Peker A
Keskin M
Durmaz MS
Tolu İ
Source :
Journal of computer assisted tomography [J Comput Assist Tomogr] 2021 Nov-Dec 01; Vol. 45 (6), pp. 863-869.
Publication Year :
2021

Abstract

Objective: To assess coronary artery calcification (CAC) in patients with acute pulmonary embolism and determine whether this correlates with right ventricular dilation (RVD) and mortality.<br />Methods: Computed tomography pulmonary angiography scans of 330 patients were used to perform retrospective assessment of the pulmonary artery computed tomography obstruction index (PACTOI), the right/left ventricle diameter ratio, the diameter of the pulmonary trunk, and the ordinal CAC score.<br />Results: Age (P < 0.001), urea level (P < 0.001), D-dimer level (P = 0.006), diameter of the pulmonary trunk (P < 0.001), and PACTOI (P < 0.001) were significantly higher in the RVD-positive patient group. We found a significant relation between increased CAC score and increased mortality (P = 0.038). Left-sided CAC was detected much more often in RVD-positive patients (P = 0.008).<br />Conclusions: Coronary artery calcification is common in patients with acute pulmonary embolism, especially when those patients are also RVD-positive. A significant relation was found between RVD and left-sided CAC.<br />Competing Interests: The authors declare no conflict of interest.<br /> (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)

Details

Language :
English
ISSN :
1532-3145
Volume :
45
Issue :
6
Database :
MEDLINE
Journal :
Journal of computer assisted tomography
Publication Type :
Academic Journal
Accession number :
34347701
Full Text :
https://doi.org/10.1097/RCT.0000000000001199