کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5984978 1178684 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Coronary calcium scanning independently detects coronary artery disease in asymptomatic firefighters: A prospective study
ترجمه فارسی عنوان
اسکن کلسیم کرونری به طور مستقل بیماری سرخرگ کرونری را در آتش نشان های بدون علامت تشخیص می دهد: یک مطالعه آینده نگر
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

BackgroundSudden cardiac death is the leading cause of death among firefighters in the United States. Fire departments commonly maintain physical examination protocols, often with exercise stress testing, to detect risk of coronary heart disease.ObjectiveWe sought to determine whether coronary calcium detected by electron beam computed tomography (EBCT) adds incremental risk stratification beyond the traditional risk factors in asymptomatic community-based firefighters.MethodsThree hundred ninety nine asymptomatic firefighters underwent a coronary calcium scan on a GE/Imatron C-150 Ultrafast EBCT scanner, using standardized imaging protocols. Framingham risk factor data were obtained on each patient by using a questionnaire. Agatston scores were derived and compared with national database of Agatston scores for asymptomatic populations on the basis of age and sex, allowing determination of a calcium percentile for each score.ResultsCoronary calcium was found only in men >34 years of age. Of the 53% who had positive scans (Agatston score > 0), 87% had higher than average Agatston scores compared with a national database (P < 0.01). Agatston score above the 75th percentile was found in 57% of firefighters. No correlation was observed between traditional risk factors and those with and without coronary calcium.ConclusionsFirefighters have a high burden of calcified coronary atherosclerosis, greater than anticipated on the basis of age and coronary risk factors.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiovascular Computed Tomography - Volume 7, Issue 1, January–February 2013, Pages 46-50
نویسندگان
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