Yıl: 2012 Cilt: 40 Sayı: 8 Sayfa Aralığı: 671 - 680 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı

Öz:
Amaç: Koroner arterlerde kalsiyum birikimi aterosklerozun göstergesidir. Çalışmamızın amacı, kalsiyum birikiminin hangi koroner segmentinde daha fazla olduğunu ve demografik verilerle segmenter kalsiyum skorları arasındaki ilişkiyi göstermektir. Çalışma planı: Çalışmaya 299 hasta alındı (192 erkek, 107 kadın; ort. yaş 59.08±10.7; dağılım 19-84 yıl). Tüm hastalarda 16 kesitli çok kesitli bilgisayarlı tomografi kullanılarak kalsiyum skoru ölçümleri yapıldı. Toplam kalsiyum skoru 1 Hounsfield ünitesi ve üzerindeki hastalarda koroner arterler 14 ayrı segmente ayrılarak her segmentin kalsiyum skoru ve lezyon sayısı hesaplandı. Bulgular: Koroner arterlerin kalsiyum birikimleri incelendiğinde en fazla birikimin sol ön inen koroner arterin (LAD) proksimal segmentinde olduğu görüldü. Toplam kolesterolü ve LDL kolesterolü yüksek hastalarda toplam kalsiyum skorları, olmayanlara göre anlamlı olarak yüksek bulundu. Toplam kalsiyum skoru, hipertansiyonu olan hastalarda olmayanlara göre yüksekti. Sigara kullanan ve kullanmayan hastalar arasında kalsiyum skorları açısından anlamlı fark bulunmadı. Toplam kalsiyum skorları diyabeti olan hastalarda olmayanlara göre anlamlı olarak yüksekti. Koroner arter hastalığı aile hikayesi olan hastaların toplam kalsiyum skorları ile olmayanların arasında fark saptanmadı. Yaş gruplarına göre incelendiğinde ileri yaş grubundaki hastalarda kalsiyum skorlarının anlamlı derecede yüksek olduğu görüldü. Sonuç: Koroner arterlerdeki kalsiyum birikiminin en fazla LAD proksimal bölümü olmak üzere daha çok proksimal segmentlerde olduğunu saptadık. Koroner arter kalsifikasyonunun, hipertansiyon, yaş ve hiperlipidemi gibi koroner arter hastalığı risk faktörleri ile arttığı da görüldü.
Anahtar Kelime:

Konular: Endokrinoloji ve Metabolizma Kalp ve Kalp Damar Sistemi

Assessment of coronary artery calcium scoring

Öz:
Objectives: Calcium accumulation in the coronary arteries is a known indicator of atherosclerosis. The purpose of this study was to demonstrate the effect of patients demographic characteristics on calcium scoring and the topographic accumulation of calcium in the coronary arteries. Study design: Two-hundred ninety-nine patients were included in the study (192 male, 107 female; mean age 59.08±10.7; range 19 to 84 years). All patients with total calcium scores of 1 Hounsfield unit or more underwent 16-slice multi-detector computed tomography with calcium scoring evaluation. Their coronary trees were divided into 14 different segments, and the number of lesions in each segment was calculated separately. Results: When the coronary arteries were examined for calcium accumulation by segment, the proximal segment of the LAD (left anterior descending coronary artery) had the most calcium accumulation. Total calcium scores were higher in patients with high total and LDL cholesterol values than in normolipidemic patients. Total calcium scores were higher for patients with hypertension than for patients without hypertension. Calcium scores of smokers and nonsmokers were not significantly different. Diabetic patients had higher calcium scores than patients without diabetes. No significant difference was identified between patients with and without a positive family history of coronary artery disease. Total calcium scores were higher for older patients and for patients with hyperlipidemia. Conclusion: Segmental analysis of calcium scoring demonstrates that calcium accumulation is mostly seen in the proximal LAD. Coronary artery calcification is increased by hypertension, age and hyperlipidemia.
Anahtar Kelime:

Konular: Endokrinoloji ve Metabolizma Kalp ve Kalp Damar Sistemi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ERCİYES D, ŞENER M, DURAN C, ŞİRVANCI M, DEMİROĞLU C, GÜLBARAN M (2012). Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. , 671 - 680.
Chicago ERCİYES Demet,ŞENER Murat,DURAN Cihan,ŞİRVANCI Mustafa,DEMİROĞLU Cemşit,GÜLBARAN Murat Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. (2012): 671 - 680.
MLA ERCİYES Demet,ŞENER Murat,DURAN Cihan,ŞİRVANCI Mustafa,DEMİROĞLU Cemşit,GÜLBARAN Murat Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. , 2012, ss.671 - 680.
AMA ERCİYES D,ŞENER M,DURAN C,ŞİRVANCI M,DEMİROĞLU C,GÜLBARAN M Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. . 2012; 671 - 680.
Vancouver ERCİYES D,ŞENER M,DURAN C,ŞİRVANCI M,DEMİROĞLU C,GÜLBARAN M Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. . 2012; 671 - 680.
IEEE ERCİYES D,ŞENER M,DURAN C,ŞİRVANCI M,DEMİROĞLU C,GÜLBARAN M "Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı." , ss.671 - 680, 2012.
ISNAD ERCİYES, Demet vd. "Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı". (2012), 671-680.
APA ERCİYES D, ŞENER M, DURAN C, ŞİRVANCI M, DEMİROĞLU C, GÜLBARAN M (2012). Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. Türk Kardiyoloji Derneği Arşivi, 40(8), 671 - 680.
Chicago ERCİYES Demet,ŞENER Murat,DURAN Cihan,ŞİRVANCI Mustafa,DEMİROĞLU Cemşit,GÜLBARAN Murat Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. Türk Kardiyoloji Derneği Arşivi 40, no.8 (2012): 671 - 680.
MLA ERCİYES Demet,ŞENER Murat,DURAN Cihan,ŞİRVANCI Mustafa,DEMİROĞLU Cemşit,GÜLBARAN Murat Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. Türk Kardiyoloji Derneği Arşivi, vol.40, no.8, 2012, ss.671 - 680.
AMA ERCİYES D,ŞENER M,DURAN C,ŞİRVANCI M,DEMİROĞLU C,GÜLBARAN M Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. Türk Kardiyoloji Derneği Arşivi. 2012; 40(8): 671 - 680.
Vancouver ERCİYES D,ŞENER M,DURAN C,ŞİRVANCI M,DEMİROĞLU C,GÜLBARAN M Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı. Türk Kardiyoloji Derneği Arşivi. 2012; 40(8): 671 - 680.
IEEE ERCİYES D,ŞENER M,DURAN C,ŞİRVANCI M,DEMİROĞLU C,GÜLBARAN M "Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı." Türk Kardiyoloji Derneği Arşivi, 40, ss.671 - 680, 2012.
ISNAD ERCİYES, Demet vd. "Kalsiyum skorunun koroner arterlerdeki segmenter dağılımı". Türk Kardiyoloji Derneği Arşivi 40/8 (2012), 671-680.