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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.
- 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.)
- Subjects :
- Acute Disease
Aged
Coronary Artery Disease complications
Coronary Vessels diagnostic imaging
Coronary Vessels pathology
Female
Heart Ventricles pathology
Humans
Male
Middle Aged
Pulmonary Artery diagnostic imaging
Pulmonary Artery pathology
Pulmonary Embolism complications
Pulmonary Embolism pathology
Retrospective Studies
Vascular Calcification complications
Vascular Calcification pathology
Ventricular Dysfunction, Right diagnosis
Ventricular Dysfunction, Right pathology
Computed Tomography Angiography methods
Coronary Artery Disease diagnostic imaging
Pulmonary Embolism diagnostic imaging
Vascular Calcification diagnostic imaging
Ventricular Dysfunction, Right complications
Subjects
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