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Koroner Arter Kalsiyum Skor İndeksi ile Karotis ve Yüzeyel Femoral Arterlerin İntima Media Kalınlıkları Arasındaki İlişkinin Değerlendirilmesi

Relationship Between Coronary Artery Calcium Scor Index and Intima Media Thicknesses of Carotid and Superficial Femoral Arteries

Journal Name:

  • Fırat Tıp Dergisi

Publication Year:

  • 2012

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: To investigate the relationship between intima-media thicknesses (IMT) of carotid and superficial femoral arteries and coronary artery calcium index quantified using Agatston score. Materials and Methods: Cardiac multidetector computed tomography (MDCT) angiography of 75 patients were included in the study. Coronary artery calcium scores were measured using a workstation. Calcium scores were calculated according to the Agatston method. Bilateral carotid artery and superficial femoral artery IMTs were obtained by B-mode ultrasound. All patients were divided into three groups according to Agatston scores. 25 patients with 0 Agatston score were included to first group. 25 patients with 1-100 and 25 patients with more than 101 Agatston score were inclu¬ded to second and third group, respectively. Oneway Anova, t test and Post HocTukey HSD test were used for statistical analysis. Values of P< 0.05 were considered statistically significant. Results: There was a significant relationship between carotid artery and superficial femoral artery IMTs and coronary artery calcium score index. Increased calcium scores were related with increasing IMTs. Conclusion: Increased carotid artery and superficial femoral artery IMTs relates with coronary artery calcium scores. Superficial femoral artery IMT measurement is reliable tool comparable to carotid artery IMT measurement.
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Abstract (Original Language): 
Amaç: Agatston skorlama sistemine göre yapılan koroner arter kalsiyum indeksi ile karotis ve yüzeyel femoral arterlerin intima-media kalınlık (İMK)'ları arasındaki ilişkiyi araştırmak. Gereç ve Yöntem: Çalışmaya koroner çok kesitli Bilgisayarlı Tomografi (ÇKBT) yapılmış 75 hasta dahil edildi. Koroner arter kalsiyum skorları iş istasyonu kullanılarak hesaplandı. Kalsiyum skoru hesaplanırken Agatston'un kalsiyum skorlaması kullanıldı. Daha sonra bu hastaların bilateral karotis ve süperfisyal femoral arter İMK'ları B-mode ultrasonografi kullanılarak ölçüldü. Tüm olgular Agatston'un kalsiyum skorlama sistemine göre üç gruba ayrıldı. Agatston kalsiyum skoru sıfır olan 25 olgu 1. grubu, kalsiyum skoru 1-100 arası olan 25 olgu 2. grubu ve kalsiyum skoru 101 ve üzeri olan 25 olgu 3. grubu oluşturdu. Verilerin istatistiksel analizi için OneWay Anova ve t-test kullanıldı. Post Hoc test olarak Tukey HSD test kullanıldı ve p<0.05 anlamlı kabul edildi. Bulgular: Karotis arter ve süperfisial femoral arter İMK ile koroner arter kalsiyum skor indeksi arasında anlamlı ilişki saptanmış olup; kalsiyum skoru arttıkça İMK' ların da arttığı izlendi. Sonuç: Karotis arter ve süperfisial femoral arter İMK ile koroner arter kalsiyum skor indeksi arasında anlamlı ilişki mevcuttu. Bunun yanı sıra çok sık incelenmese bile yüzeyel femoral arterlerden yapılan İMK ölçümlerinin de karotid arterlerden yapılan İMK ölçümü kadar güvenilir sonuçlar verece¬ğini düşünmekteyiz.
FULL TEXT (PDF): 
PDF icon arastirmax-koroner-arter-kalsiyum-skor-indeksi-ile-karotis-yuzeyel-femoral-arterlerin-intima-media-kalinliklari-arasindaki-iliskinin-degerlendirilmesi.pdf
  • 4
201-205
  • Turkish

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