- 期刊
Variation in Cardiac Vein System is Associated with Coronary Artery Calcium-A Venous-Atherosclerosis Paradox?
並列摘要
Background: The factors that determine the different patterns of venous anatomy are not well understood. This study was designed to evaluate the relationship between variation in the cardiac vein system and the extent of coronary artery calcium score (CACS). Methods: We reviewed the results of 64-slice CTs of 226 subjects (age 57.2 ± 11.2; 133M) enrolled in our study. The subjects were divided into 3 groups based on coronary artery calcium: 92 patients. with CACS=0 AU (Agatston Unit, AU); 56 with CACS=1-100 AU; and 78 patients with CACS ＞ than 100 AU. The cardiac venous system was reconstructed during the optimal phase of the cardiac cycle in each subject. Results: Subjects with a higher CACS had a better quality of vein images (p ＜ 0.01). The number of visible veins differed between the groups. Eight subjects (8.7%) in the group with CACS=0 AU, 7 (12.5%) in the group with CACS=1-100 AU, and 23 (29.5%) in the group with CACS ＞ 100 AU had five or more visible veins (p ＜ 0.001), whereas the proportion of subjects with less than three visible veins was 56 (60.8%), 31 (55.4%) and 30 (38.4%), respectively (p ＜ 0.05). The number of visible veins correlated with CACS (r=0.28; p ＜ 0.05). In a multivariate regression analysis, which included age, gender, CACS, LV ejection fraction, myocardial volume and heart rate, the CACS was found to be an independent determinant of the number of visible veins (p ＜ 0.05). Conclusions: The results of our study suggested that there is a link between a variation in the cardiac venous system and the extent of atherosclerosis.
延伸閱讀
- Koo, Y. T., Wang, S. T., Shih, C. M., Lin, F. Y., Tsao, N. W., Chiang, K. H., Chan, C. S., Lin, Y. C., Hung, M. Y., Hsieh, M. H., Shyu, K. G., Chen, J. W., Chang, N. C., & Huang, J. S. Y. C. Y. (2015). Arterial Stiffness Index and Coronary Artery Plaques in Patients with Subclinical Coronary Atherosclerosis. Acta Cardiologica Sinica, 31(1), 59-65. https://doi.org/10.6515/ACS20140630B
- 唐國庭、顧博明、林招膨、游澄清、陳志成（2014）。Evaluation of Coronary Artery Disease by Fraction Flow Reserve。台灣應用輻射與同位素雜誌，10(1)，797-802。https://www.airitilibrary.com/Article/Detail?DocID=18156290-201403-201404090018-201404090018-797-802
- Luk, T. H. (2010). Effect of cardiac rehabilitation on vascular function in patients withcoronary artery disease [master's thesis, The University of Hong Kong]. Airiti Library. https://www.airitilibrary.com/Article/Detail?DocID=U0029-1812201200018340
- Hsiang, C., Lin, W., Lo, C., Liang, C. Y., Lin, T., Hsieh, C., Chen, J., & Liu, W. (2023). The Prognostic Implication of Coronary Artery Calcification in Patients with Atrial Fibrillation. Journal of Medical Sciences, 43(1), 28-36. https://doi.org/10.4103/jmedsci.jmedsci_335_21
- 林彥宏（2011）。Remodeling of cardiac structure in patients with primary aldosteronism.〔博士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2011.00111