Diagnosis of the diseased coronary vessel by calcium score in patients with chest pain

Authors

Keywords:

thoracic pain, coronary artery disease, soccer score, diagnosis

Abstract

Introduction: coronary artery disease is one of the leading causes of death worldwide. A valuable tool for its diagnosis is calcium score by cardiac tomography.
Objective: to describe the results of the use of calcium scoring in the diagnosis of coronary artery disease.
Methods: a cross-sectional descriptive study was carried out at the Cardiocentro “Ernesto Che Guevara” of Santa Clara in 2019. The population consisted of 820 patients with chest pain attended at the tomography service and the sample consisted of 246 patients selected by simple random sampling. A request for informed consent was made and anamnesis, physical examination and coronary calcium score were performed. In the statistical analysis, the Kruskal-Wallis test was used to compare the variables describing the calcium score in the four coronary vessels and the Mann-Whitney U test (penalized by the Bonferroni method).
Results: 61.4% of those investigated were over 60 years of age, 65.9% were male, 78.1% had some risk factor and arterial hypertension was the most frequent (68.7%). The most common diagnosis was multivessel disease (42.28%) and the anterior descending artery was the most affected (41.46%). There were significant differences between the mean ranges for the number of lesions in the vessels with a median of three for the anterior descending and right coronary arteries.
Conclusion: the calcium score was able to diagnose coronary vessel disease in the majority of patients with chest pain.

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Author Biographies

Margarita Puerto Díaz, Hospital Provincial Universitario Cardiocentro “Ernesto Guevara”

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Bioestadística. Profesora Asistente en la Universidad de Ciencias Médicas de Villa Clara.

Elizabet Cristina Cruz Figueroa, Hospital Provincial Psiquiátrico "Dr. Luis San Juan Pérez"

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Bioestadística. Profesora Instructora en la Universidad de Ciencias Médicas de Villa Clara.

Yunet Hernández Díaz, Hospital Provincial Universitario Cardiocentro “Ernesto Guevara”

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Bioestadística.

Iván Triana de la Paz, Universidad de Ciencias Médicas de Villa Clara

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Histología.

Neisy Pérez Ramos, Universidad de Ciencias Médicas de Villa Clara

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Histología.

Belkis Yanes Milián, Universidad de Ciencias Médicas de Villa Clara

Especialista de I Grado en Medicina General Integral. Especialista de I Grado en Histología.

References

1.Gupta V, Prabhakar A, Yadav M, Khandelwal N. Computed tomography imaging-based normative orbital measurement in Indian population. Indian J Ophthalmol [Internet]. 2019 [citado 15/12/2022];67(5):659-663. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6498909/. https://doi.org/10.4103/ijo.IJO_1187_18

2.Juntunen MAK, Sepponen P, Korhonen K, Pohjanen VM, Ketola J, Kotiaho A, et al. Interior photon counting computed tomography for quantification of coronary artery calcium: pre-clinical phantom study. Biomed Phys Eng Express [Internet]. 2020 [citado 15/12/2022];6:055011. Disponible en: https://iopscience.iop.org/article/10.1088/2057-1976/aba133/pdf. https://doi.org/10.1088/2057-1976/aba133

3.Gil E. Factores de riesgo vascular. En: de la Sierra Iserte A, Navarro Colás S, Bernhardt X, Mont Girbau L, Riambau Alonso V, Xaubet Mit A, et al. Farreras Rozman Medicina Interna. 18 ed. Barcelona: Elsevier; 2016. p. 478.

4.Martínez González MA, Calasanz MJ, Tortosa A. Comparaciones de K medias (Tres o más grupos): Comparaciones no paramétricas de k medias independientes: test de Kruskal–Wallis. En: Martínez González MA, Sánchez Villegas A, Faulín Fajardo FJ. Bioestadística amigable. 2a ed. España: Universidad de Navarra; 2006. p. 435.

5.Sánchez-Delgado JA, Sánchez-Lara NE. Factores modificables de riesgo coronario y riesgo cardiovascular global. Rev Finlay [Internet]. 2021 [citado 15/12/2022];11(2):152-159. Disponible en: https://revfinlay.sld.cu/index.php/finlay/article/view/946/1986

6.Michelli BJ, Bellandi S, Brachetta FG, Knott K, Ferreyra KJ, Alveza J. Utilidad del score de calcio ecocardiográfico como herramienta predictiva de enfermedad coronaria obstructiva. Rev Argent Cardiol [Internet]. 2019 [citado 15/12/2022];87(6):470-478. Disponible en: http://www.scielo.org.ar/pdf/rac/v87n6/1850-3748-rac-87-06-470.pdf. http://dx.doi.org/10.7775/rac.es.v87.i6.15780

7.Vinter N, Christesen AMS, Mortensen LS, Urbonaviciene G, Lindholt J, Johnsen SP, et al. Coronary artery calcium score and the long-term risk of atrial fibrillation in patients undergoing non-contrast cardiac computed tomography for suspected coronary artery disease: a Danish registry-based cohort study. Eur Heart J Cardiovasc Imaging [Internet]. 2018 [citado 15/12/2022];19(8):926-932. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28977363/. https://doi.org/10.1093/ehjci/jex201

8.Ceponiene I, Nakanishi R, Osawa K, Kanisawa M, Nezarat N, Rahmani S, et al. Coronary Artery Calcium Progression Is Associated With Coronary Plaque Volume Progression: Results From a Quantitative Semiautomated Coronary Artery Plaque Analysis. JACC Cardiovasc Imaging [Internet]. 2018 [citado 15/12/2022];11(12):1785-1794. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29055625/. https://doi.org/10.1016/j.jcmg.2017.07.023

9.Liu X, Xu C, Liu C, Su X. Clinical characteristics and long-term prognosis of spontaneous coronary artery dissection: A single-center Chinese experience. Pak J Med Sci [Internet]. 2019 [citado 15/12/2022];35(1):106-112. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408650/. https://doi.org/10.12669/pjms.35.1.321

10.Yagel O, Shadafny N, Eliaz R, Dagan G, Leibowitz D, Tahiroglu I, et al. Long-Term Prognosis in Young Patients with Acute Coronary Syndrome Treated with Percutaneous Coronary Intervention. Vasc Health Risk Manag [Internet]. 2021 [citado 15/12/2022];17:153-159. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8064716/pdf/vhrm-17-153.pdf. https://doi.org/10.2147/vhrm.s298436

11.Gohmann RF, Lauten P, Seitz P, Krieghoff C, Lücke C, Gottschling S, et al. Combined coronary CT-angiography and TAVI-planning: a contrast-neutral routine approach for ruling-out significant coronary artery disease. J Clin Med [Internet]. 2020 [citado 15/12/2022];9(6):1623. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356559/. https://doi.org/10.3390/jcm9061623

12.Feuchtner G, Beyer C, Barbieri F, Spitaler P, Dichtl W, Friedrich G, et al. The Atherosclerosis Profile by Coronary Computed Tomography Angiography (CTA) in Symptomatic Patients with Coronary Artery Calcium Score Zero. Diagnostics [Internet]. 2022 [citado 15/12/2022];12(9):2042. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498007/pdf/diagnostics-12-02042.pdf. https://doi.org/10.3390/diagnostics12092042

13.Mohammadzadeh A, Farzaneh M, Zahedmehr A, Kiani R, Shakiba M, Borhani A, et al. Coronary CT angiography and dual-energy computed tomography in ischemic heart disease suspected patients. Arch Iran Med [Internet]. 2019 [citado 15/12/2022];22(7):376-383. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31679380/

14.Sociedad Española de Imagen Cardiaca [Internet]. Madrid: SEIC; c2022 [citado 15/12/2022]. ¿Qué es y para qué sirve el calcio-score?; [aprox. 3 pantallas]. Disponible en: https://ecocardio.com/documentos/biblioteca-preguntas-basicas/preguntas-al-radiologo/960-que-es-para-que-sirve-calcio-score.html

15.Kik CC, Slooff WBM, Moayeri N, de Jong PA, Muijs SPJ, Öner FC. Diagnostic accuracy of computed tomography angiography (CTA) for diagnosing blunt cerebrovascular injury in trauma patients: a systematic review and meta-analysis. Eur Radiol [Internet]. 2022 [citado 15/12/2022];32(4):2727-2738. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8921112/. https://doi.org/10.1007/s00330-021-08379-7

16.Qamar SR, Jalal S, Nicolaou S, Tsang M, Gilhofer T, Saw J. Comparison of cardiac computed tomography angiography and transoesophageal echocardiography for device surveillance after left atrial appendage closure. EuroIntervention [Internet]. 2019 [citado 15/12/2022];15(8):663-670. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31217149/. https://doi.org/10.4244/eij-d-18-01107

17.Arbas Redondo E, Tebar Marquez D, Poveda Pinedo ID, Dalmau Gonzalez-Gallarza R, Valbuena Lopez SC, Guzman Martinez G, et al. Diagnostic and prognostic value of coronary artery calcium score of zero: is it time for guidelines to change? Eur Heart J [Internet]. 2020 [citado 15/12/2022];41(Suppl 2):ehaa946.1383. Disponible en: https://academic.oup.com/eurheartj/article/41/Supplement_2/ehaa946.1383/6004594. https://doi.org/10.1093/ehjci/ehaa946.1383

18.Miedema MD, Dardari ZA, Nasir K, Blankstein R, Knickelbine T, Oberembt. Association of Coronary Artery Calcium With Long-term, Cause-Specific Mortality Among Young Adults. JAMA Netw Open [Internet]. 2019 [citado 15/12/2022];2(7):e197440. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6646982/. https://doi.org/10.1001/jamanetworkopen.2019.7440

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Published

2023-07-11

How to Cite

1.
Puerto Díaz M, Cruz Figueroa EC, Hernández Díaz Y, Triana de la Paz I, Pérez Ramos N, Yanes Milián B. Diagnosis of the diseased coronary vessel by calcium score in patients with chest pain. Acta Méd Centro [Internet]. 2023 Jul. 11 [cited 2025 Jun. 29];17(3). Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1828

Issue

Vol. 17 No. 3 (2023): Julio-Septiembre

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Original Articles

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