Calcification in coronary heart disease: issues of diagnosis, prognosis and choice of treatment

Mayorov, G. B.; Kurbanov, S.K.; Власова, Э.Е.; Galayutdinov, D. M.; Vasiliev, V.P.; Shiryaev, А. A.; Акчурин, Р. С.

doi:10.17116/cardiobulletin2018130414

Cited by 3 publications

(1 citation statement)

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“…Неблагоприятные клинические исходы, регистрируемые у пациентов с ККА, связаны как с сопутствующей патологией, так и с повышенной технической сложностью процедуры ЧКВ [37]. Как правило, эти поражения менее податливы при предилатации.…”

Section: Fundamental and Practical Aspects Of Coronary Artery Calcifiunclassified

Fundamental and practical aspects of coronary artery calcification

et al. 2020

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The review article summarizes the results of studies on the pathogenesis, as well as the clinical and prognostic role of coronary artery calcification (CAC) in coronary artery disease. The modern views of cardiologists, surgeons and general practitioners on the comorbidities manifested by CCA are presented. The modern ideas on the relationship between atherogenesis, CCA and bone resorption are described; groups of informative biological markers reflecting the severity of process are identified. Modern diagnostic methods for the detection and study of CCA are highlighted, their advantages and limitations are indicated. The effect of atherosclerosis treatment on coronary calcification and osteopenia are discussed. Further prospects and lines of research in this area are presented.

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Section: Fundamental and Practical Aspects Of Coronary Artery Calcifiunclassified

Fundamental and practical aspects of coronary artery calcification

et al. 2020

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High calcium score in an 83-year-old patient with non-ST elevation acute coronary syndrome and nonobstructive coronary artery disease: a case report

et al. 2022

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Currently, multi-slice computed tomography (MSCT) coronary angiography is a leader in the diagnosis of coronary artery disease in patients with non-ST elevation acute coronary syndrome of low or moderate risk. High coronary calcium score (CCS) obtained by MSCT indicate a high probability of obstructive coronary artery disease. In the presented case of an 83-year-old patient with unstable angina, the CCS was 1394, and hemodynamically significant stenoses were detected. However, according to selective coronary angiography, no hemodynamically significant coronary lesions were found. High CCS suggests poor image quality in MSCT coronary angiography. High CCS is detected in most people over 70 years of age. Obviously, in this patient, a high CCS is mainly determined by age. Most studies on CCS did not include patients over 80 years of age. When deciding whether to perform MSCT coronary angiography, it is necessary to take into account the individual characteristics of a particular patient, which may affect the interpretation of results.

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