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Minssen L, Dao TH, Quang AV, Martin L, Andureau E, Luciani A, Meyblum E, Derumeaux G, Deux JF. Breast arterial calcifications on mammography: a new marker of cardiovascular risk in asymptomatic middle age women? Eur Radiol 2022; 32:4889-4897. [PMID: 35147775 DOI: 10.1007/s00330-022-08571-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 01/05/2022] [Accepted: 01/07/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To determine whether breast arterial calcification (BAC) detected on mammography can predict the presence of coronary artery calcification (CAC) on CT in women. METHODS Women explored with both mammography and thoracic CT from 2009 to 2018 were retrospectively included. Women were separated in 3 categories (no BAC, few BAC, and marked BAC) using a specific 12-point scale. Similar scale was used to evaluate the amount of CAC on CT. The mean sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy of BAC for the detection of CAC were calculated. Statistical significance was assessed with Pearson's chi-squared test and Fisher's exact test as appropriate. RESULTS A total of 507 women (mean age: 62 years ± 16) were included. Patients with high amount of BAC were older (72 ± 11 vs. 59 ± 15 years old; p < .0001), were more frequently hypertensive (66% vs. 31%; p < .0001), and had more frequently renal failure (21% vs. 6%; p < .0003) than patients without BAC. The sensitivity, specificity, PPV, NPV, and diagnostic accuracy of BAC for the detection of women with marked CAC were 53.1%, 87.6%, 55.0%, 86.7%, and 79.9%, respectively. The highest diagnostic accuracy was obtained in patients under 60 years: 84.2% for detection of CAC and 93.2% for detection of women with marked CAC. CONCLUSION The presence of BAC on mammography was linked to the presence of CAC and may be used as a cardiovascular marker in patient less than 60 years. KEY POINTS • The diagnostic accuracy of breast arterial calcification (BAC) to detect the presence of coronary artery calcification (CAC) was 70.4% and reached to 79.9% to detect women with high amount of CAC. • Highest diagnostic accuracy of BAC to detect CAC (93.2%) was noticed in women under 60 years. • The presence of BAC on mammography may be used as a cardiovascular risk marker in women, especially under 60 years.
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Affiliation(s)
- Lise Minssen
- Radiology Department, AP-HP, Hôpitaux Universitaires Henri Mondor, F-94010, Creteil, France. .,Radiology Department, Hôpital Henri Mondor, 51 av Mal de Lattre de Tassigny, 94000, Créteil, France.
| | - Thu Ha Dao
- Radiology Department, AP-HP, Hôpitaux Universitaires Henri Mondor, F-94010, Creteil, France
| | | | - Laura Martin
- Department of Public Health, AP-HP, Hôpitaux Universitaires Henri Mondor, F-94010, Creteil, France
| | - Etienne Andureau
- Department of Public Health, AP-HP, Hôpitaux Universitaires Henri Mondor, F-94010, Creteil, France.,Univ Paris Est Creteil, INSERM Equipe 8, IMRB, F-94010, Creteil, France
| | - Alain Luciani
- Radiology Department, AP-HP, Hôpitaux Universitaires Henri Mondor, F-94010, Creteil, France.,Univ Paris Est Creteil, INSERM Equipe 8, IMRB, F-94010, Creteil, France
| | - Evelyne Meyblum
- Radiology Department, AP-HP, Hôpitaux Universitaires Henri Mondor, F-94010, Creteil, France
| | - Geneviève Derumeaux
- Univ Paris Est Creteil, INSERM Equipe 8, IMRB, F-94010, Creteil, France.,Physiology Department, FHU SENEC, AP-HP, Hôpitaux Universitaires Henri Mondor, F-94010, Creteil, France
| | - Jean-François Deux
- Radiology Department, AP-HP, Hôpitaux Universitaires Henri Mondor, F-94010, Creteil, France.,Radiology Department, HUG, Hopitaux Universitaires de Geneve, Geneva, Switzerland
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[Care and follow-up of cardiovascular disease in women]. SOINS; LA REVUE DE RÉFÉRENCE INFIRMIÈRE 2021; 66:14-18. [PMID: 34103126 DOI: 10.1016/s0038-0814(21)00121-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
The condition of women has vastly improved over recent decades: respect of equality, better salary conditions and health status. Although women, like men, are living longer, certain differences in care are emerging. This survey studies the characteristics of women's cardiovascular health, especially in terms of treatment and follow-up.
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Abstract
Article is devoted to a research of interrelation of psychosocial factors and courses of coronary heart disease (CHD). The anxiety, a depression, social isolation of patients with CHD is considered. Need of identification of psychosocial factors at patients with CHD for the purpose of their correction and improvement of the forecast of sick CHD and quality of their life is shown.
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Affiliation(s)
- M I Kubareva
- Sechenov First Moscow State Medical University (Sechenov University)
| | - A D Ibatov
- Sechenov First Moscow State Medical University (Sechenov University)
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