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2012, Number 1

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Finlay 2012; 2 (1)

Presence and Severity of Coronary Calcium: its Relationship with Acute Coronary Events

de la Cruz ALE, Coll MY, Jorrín RFR, Navarro LJJ, García CD, Castillo FS

Language: Spanish
References: 21
Page: 16-22
PDF size: 434.93 Kb.


ABSTRACT

Background: Calcium detection in coronary arteries confirms the presence of atherosclerosis and has proved to be a useful tool for risk stratification. Objective: To determine the relationship between the presence and severity of coronary calcium with the onset of acute coronary events. Methods: An observational, descriptive, prospective, case series study was conducted at the Dr. Gustavo Aldereguía Lima University Hospital of Cienfuegos, between January and December 2008. The series consisted of 137 patients who were studied according to: sex, personal medical history and record of fasting blood glucose, creatinine, total cholesterol and triglycerides. Patients received follow-up for two years in order to assess the occurrence of acute coronary events. Results: Average age was 53.2 ± 7.4 years, with predominance of males (52.5%). The greatest percentage of patients classified as high risk according to the quantification of coronary calcium (16.8%) were males, predominantly those over 70 years old. Diabetes was significantly associated with severity of calcium scores. Myocardial infarction was more frequent in patients with calcium scores above 400 Agatston units. Conclusions: The occurrence of acute coronary events was more frequent in patients at high risk according to coronary calcium quantification.


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