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Schindler TH, Jain S, Bhandiwad AR. Assessment of coronary anatomy and flow for optimized diagnosis and prognostication in CAD. Eur Heart J Cardiovasc Imaging 2023; 24:312-313. [PMID: 36617212 DOI: 10.1093/ehjci/jeac267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Affiliation(s)
- Thomas H Schindler
- Mallinckrodt Institute of Radiology, Division of Nuclear Medicine, Cardiovascular Medicine, Washington University School of Medicine, 510 S. Kingshighway, Campus Box 8223, St. Louis, MO 63110, USA.,John T. Milliken Department of Internal Medicine, Cardiovascular Division, Washington University School of Medicine, 4921 Parkview Plaza, St. Louis, MO 63110, USA
| | | | - Anita R Bhandiwad
- John T. Milliken Department of Internal Medicine, Cardiovascular Division, Washington University School of Medicine, 4921 Parkview Plaza, St. Louis, MO 63110, USA
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Pour-Ghaz I, Alkhatib D, Isa S, Al-Taweel O, Ugonabo I, Yedlapati N, Jefferies JL. The Roles of Coronary Computed Tomography Angiography in Characterizing Coronary Plaque: Screening, Treatment, and Prevention. J Cardiovasc Dev Dis 2023; 10:jcdd10020043. [PMID: 36826539 PMCID: PMC9960378 DOI: 10.3390/jcdd10020043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 01/13/2023] [Indexed: 01/26/2023] Open
Abstract
One of the major risk factors for coronary atherosclerosis is the gradual formation and maturation of coronary atherosclerotic plaque (CAP) [...].
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Affiliation(s)
- Issa Pour-Ghaz
- Division of Cardiovascular Disease, University of Tennessee Health Science Center, Memphis, TN 38163, USA
- Correspondence: (I.P.-G.); (D.A.)
| | - Deya Alkhatib
- Division of Cardiovascular Disease, University of Tennessee Health Science Center, Memphis, TN 38163, USA
- Correspondence: (I.P.-G.); (D.A.)
| | - Sakiru Isa
- Division of Cardiovascular Disease, University of Tennessee Health Science Center, Memphis, TN 38163, USA
| | - Omar Al-Taweel
- Cardiology, Las Vegas School of Medicine, University of Nevada, Las Vegas, NV 89154, USA
| | - Ifeoma Ugonabo
- Division of Cardiovascular Disease, University of Tennessee Health Science Center, Memphis, TN 38163, USA
| | - Neeraja Yedlapati
- Division of Cardiovascular Disease, University of Tennessee Health Science Center, Memphis, TN 38163, USA
| | - John Lynn Jefferies
- Division of Cardiovascular Disease, University of Tennessee Health Science Center, Memphis, TN 38163, USA
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Voit J, Branch KRH. Coronary plaque in the fourth dimension: associating coronary computed tomography plaque components and the time to acute coronary syndrome. Eur Heart J Cardiovasc Imaging 2022; 23:1324-1325. [PMID: 35980767 DOI: 10.1093/ehjci/jeac170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Jay Voit
- Department of Medicine, University of Washington Heart Institute, Seattle, WA, USA
| | - Kelley R H Branch
- Department of Medicine, University of Washington Heart Institute, Seattle, WA, USA
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Yang Y, Li L, Zhang Y, Yang H, Bai J, Lv H, Fu S. Association Between Coronary Artery Calcium Score and Bone Mineral Density in Type 2 Diabetes Mellitus with Different Visceral Fat Area. Diabetes Metab Syndr Obes 2022; 15:3949-3960. [PMID: 36561919 PMCID: PMC9766512 DOI: 10.2147/dmso.s392152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 11/26/2022] [Indexed: 12/23/2022] Open
Abstract
PURPOSE The relationship between coronary artery calcification and bone mineral density (BMD) in T2DM is still unclear. The aim of this study is to analyze the association between coronary artery calcium score (CACs) and BMD in T2DM with different visceral fat area (VFA), and further to explore the clinical significance of CACs in predicting osteoporosis in T2DM patients. PATIENTS AND METHODS A total of 479 T2DM patients aged ≥50 years were included. Agatston was applied to calculate CACs to evaluate the degree of coronary artery calcification. Dual-energy X-ray absorptiometry (DXA) was used to measure BMD. According to VFA, all subjects were divided into VFA <100cm2 and VFA ≥100cm2 group. Adjusted regression analysis was performed to analyze the association between CACs and BMD. ROC curve was used to analyze the optimal cut-off value of CACs for screening osteoporosis. RESULTS The baseline showed that in VFA ≥100cm2 group, CACs increased significantly than that in VFA <100cm2 group (212.1±195.9 vs 139.3±141.8, p<0.001) and total hip BMD decreased obviously (0.968±0.19 vs 1.021±0.184, p=0.01). After multivariable adjustment, CACs was not significantly associated with BMD in all patients (p>0.05). However, CACs was negatively associated with BMD of total hip and lumbar spine in patients with VFA ≥100cm2 (total hip β=-0.087 p=0.01; lumbar spine β=-0.052 p=0.005), but not VFA <100cm2. ROC curve analysis showed that the optimal cut-off value of CACs for screening osteoporosis was 191.505. CONCLUSION The present study implied that associations between CACs and BMD varied by the visceral fat deposition. It is critical to evaluate the condition of visceral fat accumulation for exploring the complex interplay of coronary artery calcification and BMD in T2DM patients. It may be of some clinical value for CACs in predicting osteoporosis in T2DM with visceral obesity.
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Affiliation(s)
- Ying Yang
- Department of Endocrinology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
- The First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
| | - Lingling Li
- Department of Endocrinology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
- The First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
| | - Yangyang Zhang
- Department of Endocrinology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
- The First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
| | - Hong Yang
- Department of Endocrinology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
- The First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
| | - Jia Bai
- Department of Endocrinology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
- The First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
| | - Haihong Lv
- Department of Endocrinology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
- The First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
- Correspondence: Haihong Lv; Songbo Fu, Department of Endocrinology, The First Hospital of Lanzhou University, No. 1Donggang West Road, Lanzhou, Gansu, 730000, People’s Republic of China, Tel +86 13893324091; +86 13993122257, Email ;
| | - Songbo Fu
- Department of Endocrinology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
- The First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, 730000, People’s Republic of China
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