Usefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case report
Coronary calcium is a marker of the presence and extent of atherosclerosis, capable of providing prognostic information in addition to traditional risk factors. Additionally, the coronary calcium test has as an associated descriptor the calcium score or calcium score (Cs) which is useful, mainly, fo...
- Autores:
-
Vera, Miguel
Bravo, Antonio
Del Mar, Atilio
- Tipo de recurso:
- Fecha de publicación:
- 2020
- Institución:
- Universidad Simón Bolívar
- Repositorio:
- Repositorio Digital USB
- Idioma:
- eng
- OAI Identifier:
- oai:bonga.unisimon.edu.co:20.500.12442/6849
- Acceso en línea:
- https://hdl.handle.net/20.500.12442/6849
http://www.revhipertension.com/rlh_3_2020/15_usefulness.pdf
- Palabra clave:
- Calcium score
Coronary artery
Cardiac catheterization
Angioplasty
Coronary stent
Arteria coronaria
Cateterismo cardiaco
Angioplastia
- Rights
- openAccess
- License
- Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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Usefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case report |
| dc.title.translated.spa.fl_str_mv |
Utilidad del calcio score e imágenes de tomografía computarizada en pacientes con dolor torácico inespecífico: A propósito de un caso clínico |
| title |
Usefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case report |
| spellingShingle |
Usefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case report Calcium score Coronary artery Cardiac catheterization Angioplasty Coronary stent Arteria coronaria Cateterismo cardiaco Angioplastia |
| title_short |
Usefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case report |
| title_full |
Usefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case report |
| title_fullStr |
Usefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case report |
| title_full_unstemmed |
Usefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case report |
| title_sort |
Usefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case report |
| dc.creator.fl_str_mv |
Vera, Miguel Bravo, Antonio Del Mar, Atilio |
| dc.contributor.author.none.fl_str_mv |
Vera, Miguel Bravo, Antonio Del Mar, Atilio |
| dc.subject.eng.fl_str_mv |
Calcium score Coronary artery Cardiac catheterization Angioplasty Coronary stent |
| topic |
Calcium score Coronary artery Cardiac catheterization Angioplasty Coronary stent Arteria coronaria Cateterismo cardiaco Angioplastia |
| dc.subject.spa.fl_str_mv |
Arteria coronaria Cateterismo cardiaco Angioplastia |
| description |
Coronary calcium is a marker of the presence and extent of atherosclerosis, capable of providing prognostic information in addition to traditional risk factors. Additionally, the coronary calcium test has as an associated descriptor the calcium score or calcium score (Cs) which is useful, mainly, for the risk stratification of asymptomatic patients, whereas in patients with acute or chronic chest pain, it is required, usually, coronary axial computed tomography. In this article, we present the clinical case of a 59-year-old male patient with a history of chronic hypertension and mixed hyperlipidemia who consults for presenting non-specific chest discomfort, without irradiation, of 3 months of evolution, which has been progressively increasing and exacerbated with intense effort; while it improves with rest. No abnormalities suggestive of myocardial ischemia was observed on the 12-lead surface electrocardiogram. A quantification of the Cs is performed, which reports a total value of 350 Hounsfield units (HU) equivalent to acute coronary disease. Due to the high volume, mass and concentration of calcium in a single artery, located at 310 HU in the right descending coronary artery (ADA), together with the clinical and risk factors, it was decided to perform a cardiac catheterization with a finding of 90 % in the proximal segment of the ADA, followed by the respective coronary angioplasty and coronary stent implantation processes. |
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2020 |
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2020-12-07T20:51:09Z |
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2020-12-07T20:51:09Z |
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2020 |
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Artículo científico |
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26107996 |
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https://hdl.handle.net/20.500.12442/6849 |
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http://www.revhipertension.com/rlh_3_2020/15_usefulness.pdf |
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26107996 |
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https://hdl.handle.net/20.500.12442/6849 http://www.revhipertension.com/rlh_3_2020/15_usefulness.pdf |
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eng |
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eng |
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Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
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openAccess |
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pdf |
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Sociedad Venezolana de Hipertensión Sociedad Latinoamericana de Hipertensión |
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Revista Latinoamericana de Hipertensión Vol. 15, No. 3 (2020) |
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Universidad Simón Bolívar |
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Vera, Miguelc485e4e3-5bbd-4d00-8ec7-e5bc8a0a21e3Bravo, Antonio07aba3dd-3344-4237-9ad4-3d40d655e915Del Mar, Atilio82c097a4-4438-4c35-b8c2-f17c5324ac8b2020-12-07T20:51:09Z2020-12-07T20:51:09Z202026107996https://hdl.handle.net/20.500.12442/6849http://www.revhipertension.com/rlh_3_2020/15_usefulness.pdfCoronary calcium is a marker of the presence and extent of atherosclerosis, capable of providing prognostic information in addition to traditional risk factors. Additionally, the coronary calcium test has as an associated descriptor the calcium score or calcium score (Cs) which is useful, mainly, for the risk stratification of asymptomatic patients, whereas in patients with acute or chronic chest pain, it is required, usually, coronary axial computed tomography. In this article, we present the clinical case of a 59-year-old male patient with a history of chronic hypertension and mixed hyperlipidemia who consults for presenting non-specific chest discomfort, without irradiation, of 3 months of evolution, which has been progressively increasing and exacerbated with intense effort; while it improves with rest. No abnormalities suggestive of myocardial ischemia was observed on the 12-lead surface electrocardiogram. A quantification of the Cs is performed, which reports a total value of 350 Hounsfield units (HU) equivalent to acute coronary disease. Due to the high volume, mass and concentration of calcium in a single artery, located at 310 HU in the right descending coronary artery (ADA), together with the clinical and risk factors, it was decided to perform a cardiac catheterization with a finding of 90 % in the proximal segment of the ADA, followed by the respective coronary angioplasty and coronary stent implantation processes.El calcio coronario es un marcador de la presencia y la extensión de aterosclerosis, capaz de proporcionar una información pronóstica añadida a los factores de riesgo tradicionales. Adicionalmente, la prueba de calcio coronario tiene como descriptor asociado la puntuación de calcio o calcio score (Cs) el cual es útil, principalmente, para la estratificación de riesgo de pacientes asintomáticos, mientras que en pacientes con dolor agudo o crónico de pecho se requiere, usualmente, la tomografía computarizada axial de coronarias. En este artículo, se presenta el caso clínico de un paciente masculino de 59 años con antecedentes de hipertensión crónica e hiperlipidemia mixta quien consulta por presentar molestia torácica inespecífica, sin irradiación, de 3 meses de evolución, que ha ido aumentando progresivamente y que se exacerba con el esfuerzo intenso; mientras que mejora con el reposo. En el electrocardiograma de superficie de 12 derivaciones no se observaron alteraciones sugerentes de isquemia miocárdica. Se realiza cuantificación del Cs el cual reporta un valor total de 350 unidades Hounsfield (UH) equivalente a enfermedad coronaria aguda. Debido al alto volumen, masa y concentración de calcio en una sola arteria, ubicado en 310 UH en la arteria coronaria descendente derecha (ADA), aunado a la clínica y factores de riesgo, se decidió practicarle un cateterismo cardiaco con hallazgo de lesión de 90% en el segmento proximal de la ADA; seguido de los respectivos procesos de angioplastia coronaria e implante del stent coronario.pdfengSociedad Venezolana de HipertensiónSociedad Latinoamericana de HipertensiónAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Revista Latinoamericana de HipertensiónVol. 15, No. 3 (2020)Calcium scoreCoronary arteryCardiac catheterizationAngioplastyCoronary stentArteria coronariaCateterismo cardiacoAngioplastiaUsefulness of calcium score and computed tomography images in patients with nonspecific chest pain: A case reportUtilidad del calcio score e imágenes de tomografía computarizada en pacientes con dolor torácico inespecífico: A propósito de un caso clínicoinfo:eu-repo/semantics/articleArtículo científicohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_2df8fbb1Budoff MJ, Shaw LJ, Liu ST, Weinstein SR, Mosler TP, Tseng PH, et al. Long-term prognosis associated with coronary calcification: observations from a registry of 25,253 patients. J Am Coll Cardiol. 2007; 49:1860-70.Detrano RC, Guerci A, Carr JJ, Carr J, Bild D, Burke GL, et al. Coronary calcium predicts near-term coronary heart disease events in major American ethnic groups: the multi- ethnic study of atherosclerosis. J Am Coll Cardiol. 2007;49 Suppl A:101A.Coronary CT Angiography Updated: Dec 21, 2017 Author: Eugene C Lin, MD; Chief Editor: Eugene C Lin.Goff DC, Lloyd-Jones DM, Bennett G et al. American College of Cardiology/American Heart Association Task Force on Practice Guidelines. ACC/AHA guideline on the assessment of cardiovascular risk: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63(25B):2935-2959Hecht H, Blaha MJ, Berman DS, et al. Clinical indications for coronary artery calcium scoring in asymptomatic patients: expert consensus statement from the Society of Cardiovascular Computed Tomography. J Cardiovasc Comput Tomogr. 2017; 11:157-168.Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte MJ, Detrano R. Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol. 1990; 15:827- 32.Rumberger JA, Brundage BH, Rader DJ et al. Electron beam computed tomographic coronary calcium scanning: a review and guidelines for use in asymptomatic persons. Mayo Clin Proc. 1999; 74:243-252.American Heart Association. Heart disease and stroke statistics-2003 update. Dallas: American Heart Association; 2003.aylor AJ, Burke AP, O’Malley PG, et al. A comparison of the Framingham Risk Index, coronary artery calcification, and culprit plaque morphology in sudden cardiac death. Circulation. 2000; 101:1243-8Wexler L, Brundage B, Crouse J et al. Coronary artery calcification: pathophysiology, epidemiology, imaging methods, and clinical implications. A statement for health professionals from the American Heart Association. Circulation. 1996; 94:1175-92.Blankenhorn DH, Stem D. Calcification of the coronary arteries. AJR Am J Roentgenol. 1959; 81:772-7.Beadenkopf WG, Daoud AS, Love BM. Calcification of the coronary arteries and its relation to arteriosclerosis and myocardial infarction. AJR Am J Roentgenol. 1964;92: 865-71.Shemesh J, Apter S, Itzchak Y et al. Coronary calcification compared in patients with acute versus in those with chronic coronary events by using dual-sector spiral CT. Radiology. 2003; 226:483-8.Wong ND, Budo. MJ, Pio H et al. Coronary calcium and cardiovascular event risk: evaluation by age-and sex-specfic quartiles. Am Heart J. 2002; 143:456-9.Schmermund A, Baumgart D, Adamzik M et al. Comparison of electron-beam computed tomography and intracoronary ultrasound in detecting calcified and non-calcified plaques in patients with acute coronary syndromes and no or minimal to moderate angiographic coronary artery disease. Am J Cardiol. 1998; 81:141-6.Bielak LF, Rumberger JA, Sheedy PF et al. Probabilistic model for prediction of angiographically defined obstructive coronary artery disease using electron beam computed tomography calcium score stata. Circulation. 2000; 102:380-5Warner J, Heart disease most costly condition [2003-03-03]. Available from: http://my.webmd.com/content/ArticleArad Y, Spadaro LA, Goodman K et al. Predictive value of electron beam computed tomography of the coronary arteries. 19-month follow-up of 1173 asymptomatic subject. Circulation. 1996; 93:1951-3.O’Rourke RA, Brundage BH, Froelicher VF, Greenland P, Grundy S, Hachamovith R, Pohost G, Shaw L, Weintraub W, Winters W American College of Cardiology/American Heart Association expert consensus document on electron-beam computed tomography for the diagnosis and prognosis of coronary artery disease. Circulation. 2000; 102:126- 40Taylor AJ, Merz CN, Udelson JE. 34th Bethesda Conference: executive summary-can atherosclerosis imaging techniques improve the detection of patients at risk for ischemic heart disease? J Am Coll Cardiol. 2003; 41:1860-2.Rumberger JA, Simons DB, Fitzpatrick LA, Sheedy PF, Schwartz RS Coronary artery calcium area by electron-beam computed tomography and coronary atherosclerotic plaque area: a histopathologic correlative study. Circulation. 1995; 92:2157-62.ori E, Bendinelli S, Faggiano P. Coronary artery calcium identified by multislice TC as marker of early coronary artery disease Monaldi Arch Chest Dis. 2003;60(1):63-72Pletcher MJ, Tice JA, Pignone M, Browner WS Using the coronary artery calcium score to predict coronary heart disease events: a systematic review and meta-analysis. Arch Intern Med. 2004;164(12):1285- 92Hecht HS, Budoff MJ, Berman DS, Ehrlich J, Rumberger JA Coronary artery calcium scanning: Clinical paradigms for cardiac risk assessment and treatment Am Heart J. 2006;151(6):1139-46.Pletcher MJ, Tice JA, Pignone M, McCulloch C, Callister TQ, Browner WS What does my patient’s coronary artery calcium score mean? Combining information from the coronary artery calcium score with information from conventional risk factors to estimate coronary heart disease risk.BMC Med. 2004; 2:31.Thompson BH, Stanford W Update on using coronary calcium screening by computed tomography to measure risk for coronary heart disease. Int J Cardiovasc Imaging. 2005; 21(1):39-53Taylor AJ, Feuerstein I, Wong H, Barko W, Brazaitis M, O’Malley PG Do conventional risk factors predict subclinical coronary artery disease? Results from the Prospective Army Coronary Calcium Project Am Heart J. 2001; 141(3):463-8.Alexopoulos D, Toulgaridis T, Davlouros P, Christodoulou J, Sitafidis G, Hahalis G, Vagenakis AG Prognostic significance of coronary artery calcium in asymptomatic subjects with usual cardiovascular risk. Am Heart J. 2003; 145(3):542-8.Schmermund A, Möhlenkamp S, Erbel R Coronary artery calcium and its relationship to coronary artery disease. Cardiol Clin. 2003; 21(4):521-34.Raggi P, Shaw LJ, Berman DS, Callister TQ Prognostic value of coronary artery calcium screening in subjects with and without diabetes J Am Coll Cardiol. 2004; 43(9):1663-9.Haberl R, Becker A, Leber A, Knez A, Becker C, Lang C, Brüning R, Reiser M, Steinbeck G Correlation of coronary calcification and angiographically documented stenoses in patients with suspected coronary artery. 2001; 37(2):451-7Morcilloa C, Valderasb J, Rocaa J, Oliveróa R, Núñeza C, Sáncheza M, Bechicha S La determinación de calcio coronario con tomografía computarizada en la evaluación del riesgo cardiovascular: un estudio descriptivo. Rev Esp Cardiol. 2007; 60(3):268-75Ferreira-González I Epidemiología de la enfermedad coronaria. Rev. Esp. Cardiol. 2014;67(02):139-44.Franco G, Jaramillo S, De Fex V, Sierra L Modelo predictivo de “score” de calcio alto en pacientes con factores de riesgo cardiovascular Rev. Colomb. 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