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Articles


VALUE OF CORONARY ARTERY CALCIUM SCORING IN IRANIAN PATIENTS SUSPECTED TO
CORONARY ARTERY DISEASE

Amir Farhang Zand Parsa
,
Naser Gilani Larimi

,
Marzie Motevali
,
Ali Macvand Gholipour
,
Mostafa Rezaei Shahreza
,
Faraz Ranjpoor
,
Mohammad Mostafa Dashti


ABSTRACT

Coronary artery calcium scoring (CACS) is a reasonable test for patients with
the possibility of atherosclerosis. It can also be used for reclassifying the
coronary artery disease (CAD) to the high-risk status by higher CACS and
subsequently modifying the management of the patients.The purpose of this study
was to investigate the association of CACS to the severity of coronary artery
disease in the patients who were scheduled to perform coronary artery
angiography (CAG) by tradition. CACS could be a simple, relatively cost-benefit,
and noninvasive method for early screening of patients with obstructive coronary
artery disease.In the present study, CAC scoring was evaluated by non-enhanced
Multi-Detector Computed Tomography (MDCT) in a total 239 patient suffering from
coronary artery disease. Of them, 223 patients were planned to undergo CAG based
on clinical examination or other noninvasive diagnostic methods (such as MPI,
ETT, EKG or Echo).Our results showed that 11 of 67 patients with a negative CACS
(zero) had obstructive coronary artery disease derived from the results of CAG.
We also found a significant correlation between high CACS (more than 400) and
extensive obstructive CAD, except for the two patients who had only mild CAD.
There was a linear correlation between CACS and the severity of CAD on the basis
of Gensini score and the number of involved arteries (CC=0.507, PV400) might be
a significant indicative of CAD in referring patients.

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IssueVol 53, No 6 (2015) SectionArticles Keywords CACS Obstructive CAD Gensini
score Coronary Artery Angiography (CAG)

--------------------------------------------------------------------------------

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Attribution-NonCommercial 4.0 International License.

How to Cite
1.
Parsa AFZ, Gilani Larimi N, Motevali M, Gholipour AM, Shahreza MR, Ranjpoor F,
Dashti MM. Value of Coronary Artery Calcium Scoring in Iranian Patients
Suspected to Coronary Artery Disease. Acta Med Iran. 1;53(6):356-362.
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2022 CiteScore: 0.6

pISSN: 0044-6025
eISSN: 1735-9694


Editor-in-Chief:
Ahmadreza Dehpour, PharmD, PhD

 



 

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Acta Medica Iranica (Monthly), pISSN: 0044-6025, eISSN: 1735-9694 Tehran
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