Left ventricular mass index as a predictor of coronary calcification, coronary lesion and association with coronary artery tortuosity

Autor: Z Khaleel, Zainab Atiyah Dakhil, Hasan Farhan
Rok vydání: 2021
Předmět:
Zdroj: European Journal of Preventive Cardiology. 28
ISSN: 2047-4881
2047-4873
Popis: Funding Acknowledgements Type of funding sources: None. Background Despite Coronary artery tortuosity (CAT) is a common angiographic finding, there is limited data regarding pathogenesis and aetiology of this coronary entity, one proposed hypothesis was the change in geometry of left ventricle (LV) which predispose for CAT. Very little is known about echocardiographic parameters and their significance in CAT. Purpose This study aimed to determine left ventricular mass index (LVMI) as a predictor of coronary calcium burden (represented by CT coronary calcium scoring CaCs), coronary obstructive lesions and association of LVMI with CAT in patients with chronic chest pain who were referred for coronary angiography (CA). Methods Cross-sectional study enrolled patients with chronic chest pain whom referred for CCTA and coronary angiography (CA). Demographic characteristics and CA results were collected. LVMI was calculated for each patient. Patients were grouped into those with CAT vs without CAT. Results The study recruited 150 patients including 106 (70.7%) with CAT. Among total study patients; mean LVMI was higher in elderly≥ 65 years (147.5 ± 52 vs 52.5 ± 8.4, p Conclusion left ventricular mass index increased in elderly, obese, hypertensive and diabetics. Severe grade of increase in LVMI was higher in patients with coronary artery tortuosity compared to those without coronary tortuosity. Similarly, LVMI can be useful echocardiographic predictor of coronary calcification as well as obstruction, further studies are warranted to explore pathophysiological basis and clinical impacts of these findings. Abstract Figure.
Databáze: OpenAIRE