IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i12p2132-d240339.html
   My bibliography  Save this article

Usefulness of the Coronary Artery Calcium Score in Predicting Subsequent Coronary Interventions—A Ten-Year Single-Center Perspective

Author

Listed:
  • Agnieszka Mlynarska

    (Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, 40-635 Katowice, Poland
    Department of Electrocardiology, Upper Silesian Medical Centre, 40-635 Katowice, Poland)

  • Rafal Mlynarski

    (Department of Electrocardiology, Upper Silesian Medical Centre, 40-635 Katowice, Poland
    Department of Electrocardiology and Heart Failure, School of Health Sciences, Medical University of Silesia, 40-635 Katowice, Poland)

  • Maciej Sosnowski

    (Unit of Noninvasive Cardiovascular Diagnostics, Upper Silesian Medical Centre, 40-635 Katowice, Poland
    3rd Division of Cardiology, Medical University of Silesia, 40-635 Katowice, Poland)

Abstract

There is no consensus as to whether the Coronary Artery Calcium Score (CACS) results can affect the therapeutic approach that is selected for coronary artery disease. The aim of this study was to follow patients’ management over a period of ten years after application of the CACS. Methods : The research was conducted as a prospective, single-center, long-distance study. In 174 asymptomatic patients (78M; aged 58.9 ± 7.86), a CACS examination using 64-slice computed tomography was performed between 2008 and 2009. The patients were divided into three subgroups according to the CACS results using Agatston Units (AU)—G1: CACS = 0 AU (52 pts); G2: CACS = 1–399 AU (64 pts) and G3: CACS ≥ 400 AU (58 pts). During the ten years of follow-up, the classical cardiovascular risk factors, drugs, diseases, and information about the therapeutic approach that was used (PCI—Percutaneous Coronary Intervention; CABG—Coronary Artery Bypass Graft) were also analyzed. Results : The average time until a percutaneous intervention (PCI) was 825.2 ± 1111.7 and for CABG, it was 529.0 ± 833.6. PCI was performed in 5.8% (G1), 4.7% (G2) and 32.6% (G3) of the cases, respectively; p = 0.0000. CABG was performed in 0% (G1), 1.6% (G2) and 18.9% (G3) of the cases, respectively; 0.0035 Yates. The area under the curve in PCI was 0.783 (95% CI: 0.714–0.841); in CABG, it was 0.825 (95% CI: 0.760–0.878) and the average for both groups was 0.838 (95% CI: 0.774–0.889). Conclusions : The coronary artery calcium score can potentially help to predict the best therapeutic approach for coronary artery disease in a ten-year perspective.

Suggested Citation

  • Agnieszka Mlynarska & Rafal Mlynarski & Maciej Sosnowski, 2019. "Usefulness of the Coronary Artery Calcium Score in Predicting Subsequent Coronary Interventions—A Ten-Year Single-Center Perspective," IJERPH, MDPI, vol. 16(12), pages 1-9, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2132-:d:240339
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/12/2132/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/12/2132/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2132-:d:240339. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.