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. 2005 Dec;20(6):994-9.
doi: 10.3346/jkms.2005.20.6.994.

Coronary-artery calcium scores using electron beam CT in patients with chronic renal failure

Chan-Duck Kim  1 , Ji-Hyung Cho, Hyuk-Joon Choi, Min-Hwa Jang, Hyeog-Man Kwon, Jun-Chul Kim, Sun-Hee Park, Jong-Min Lee, Dong-Kyu Cho, Yong-Lim Kim
Affiliations

Coronary-artery calcium scores using electron beam CT in patients with chronic renal failure

Chan-Duck Kim et al. J Korean Med Sci. 2005 Dec.

Abstract

We evaluated the risk of coronary-artery disease in patients with chronic renal failure (CRF) by measuring the coronary-artery calcium scores with electron beam CT (EBCT). A total of 81 CRF patients were divided into three groups; pre-dialysis (group I, n = 35), hemodialysis (group II, n = 31) and peritoneal dialysis (group III, n = 15). The several serum biochemical markers and calcium score levels by EBCT were determined. The Ca x P products were significantly higher in groups II (p < 0.05) and III (p < 0.01) than in group I. The serum calcium levels were significantly higher in group III than in both group I (p < 0.01) and II (p < 0.05). The serum calcium level in 15 patients with a calcium score > 400 was significantly higher than the 66 patients with a score < or =400 (p < 0.01). The calcium score was significantly higher in the 15 patients with cardiovascular complications than in the 66 patients without cardiovascular complications (628.9+/-904.8 vs. 150.4+/-350.9, p < 0.01). EBCT seemed to be a good diagnostic tool for evaluating the risk of coronary-artery disease ''noninvasively'' in CRF patients who are at increased risk of cardiovascular morbidity and mortality.

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Figures

Fig. 1
Fig. 1
Serum calcium and phosphorus levels according to coronary-artery calcium score (CACS).
Fig. 2
Fig. 2
Serum calcium-phosphorus product according to coronary-artery calcium score (CACS).
Fig. 3
Fig. 3
Serum parathyroid hormone according to coronary-artery calcium score (CACS).
Fig. 4
Fig. 4
Distribution of the coronary-artery calcium score (CACS) level according to presence or absence of cardiovascular complications (CVC).
See this image and copyright information in PMC

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