Aortic calcification on plain chest radiography increases risk for coronary artery disease.

Abstract:

STUDY OBJECTIVES:To determine whether an association exists between aortic calcification viewed on plain chest radiography and coronary artery disease. METHODS:Retrospective review of all chest radiographs obtained from consecutive patients undergoing coronary angiography at a primary cardiac center during 1999. Plain chest radiographs were reviewed by blinded radiologists, and interobserver consistency was measured. The presence or absence of aortic arch calcification was abstracted and compared with the results of coronary angiography. RESULTS:Of 654 cases, 329 of 360 patients with aortic arch calcification vs. 241 of 294 patients without aortic arch calcification had coronary artery disease demonstrated on angiography. The 9% absolute difference in proportions was significant (p = 0.0003). The relative risk (measured by risk ratio) was 1.11 (95% confidence interval, 1.05 to 1.19). CONCLUSION:Several objective signs (e.g., hypertension, hyperlipidemia, and ECG changes) have been associated previously with the presence of coronary artery disease. This study further suggests an association between coronary disease and aortic arch calcification on plain chest radiography. These results may assist primary-care providers performing routine health assessments as well as emergency practitioners evaluating patients with potential angina.

journal_name

Chest

journal_title

Chest

authors

Li J,Galvin HK,Johnson SC,Langston CS,Sclamberg J,Preston CA

doi

10.1378/chest.121.5.1468

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

1468-71

issue

5

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)34857-1

journal_volume

121

pub_type

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