评价乳腺血管钙化作为冠状动脉钙化的预测因子

D. A. Bazhenova, O. Puchkova, E. Mershina, V. Sinitsyn
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引用次数: 0

摘要

背景。心血管疾病是妇女死亡的主要原因之一,目前的预防模式对这一群体可能还不够。在这种情况下,有人认为,乳房血管钙化的检测可以提高对表面健康妇女心血管疾病风险的筛查和评估。目的:探讨乳腺血管钙化对冠状动脉钙化的潜在预测作用。材料和方法。我们对123名接受数字乳房x线摄影和心脏计算机断层扫描的患者进行了检查,以估计冠状动脉钙评分。使用Wilcoxon-Mann-Whitney w检验异常分布显示乳腺血管钙化与钙评分之间存在相关性(p< 0.001),主动脉壁钙化与钙评分之间存在相关性(p< 0.001)。乳房x光检查发现的乳腺血管钙化是冠状动脉钙化频率较高的一个指标,显然是心血管疾病风险增加的一个预测指标。
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Evaluation of Breast Vascular Calcifications as a Predictor for Coronary Artery Calcification
Background. Cardiovascular diseases are one of the main causes of death among women, and current prevention paradigms may not be sufficient in this group. In this context, it has been suggested that the detection of breast vascular calcifications can improve the screening and assessment of the risk of cardiovascular diseases in apparently healthy women.Objective: to study the role of breast vascular calcifications as a potential predictor for coronary artery calcification. Material and methods. Examinations were made in 123 patients who underwent digital mammography and cardiac computed tomography to estimate a coronary artery calcium score.Results. The use of the Wilcoxon-Mann-Whitney W-test for abnormal distribution showed a relationship between the presence of breast vascular calcifications and calcium score (p< 0.001), and that between aortic wall calcification and calcium score (p< 0.001).Conclusion. Breast vascular calcifications detected by mammography are an indicator of a higher frequency of coronary artery calcification and, apparently, a predictor for the increased risk of cardiovascular disease.
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