Shemy Carasso1,2, Dalit Porat Ben Amy2,3, Mariana Issawy2, Fabio Kusniec1,2, Diab Ghanim1,2, Doron Sudarsky1,2, Gabby Elbaz-Greener1,2,4, Wadi Kinany1,2, Chen Shmuel2,3, Imad Abu El-Naaj2,5, Erez Kachel1,2, Offer Amir1,2,4. 1. Division of Cardiovascular Medicine, B Padeh Medical Center, Poriya, Lower Galilee, Israel. 2. The Azrieli Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel. 3. Oral Medicine Unit, B Padeh Medical Center, Poriya, Lower Galilee, Israel. 4. Heart Institute, Hadassah Medical Center, Jerusalem, Israel. 5. Department of Oral and Cranio-maxillofacial surgery, B Padeh Medical Center, Poriya, Lower Galilee, Israel.
Abstract
OBJECTIVES: Coronary artery calcium measured by CT predicts future coronary events. Similarly, carotid artery calcium on dental panoramic radiographs has been associated with increased cardiovascular events. Pre-procedural assessment of candidates for valve replacement in our institution includes panoramic radiographs and chest tomography. We aimed to assess the association of carotid calcium on panoramic radiographs with coronary artery calcium on chest tomography. METHODS: Paired pre-procedural panoramic radiographs and chest tomography scans were done in 177 consecutive patients between October 2016 and October 2017. Carotid calcium was quantified using NIH's ImageJ. Coronary artery calcium was quantified by the Agatston score using Philips Intellispace portal, v. 8.0.1.20640. RESULTS: Carotid calcium maximal intensity, area and perimeter were higher among patients with high coronary artery calcium. Non-zero carotid calcium was found in half of patients with high coronary artery calcium, doubling prevalence of low coronary artery calcium. CONCLUSION: Carotid calcium identified in panoramic radiographs was associated with high coronary artery calcium. Awareness of carotid calcium recognized by dental practitioners in low-cost, low radiation and commonly done panoramic radiographs may be useful to identify patients at risk of coronary disease with potential future cardiovascular events.
OBJECTIVES: Coronary artery calcium measured by CT predicts future coronary events. Similarly, carotid artery calcium on dental panoramic radiographs has been associated with increased cardiovascular events. Pre-procedural assessment of candidates for valve replacement in our institution includes panoramic radiographs and chest tomography. We aimed to assess the association of carotid calcium on panoramic radiographs with coronary artery calcium on chest tomography. METHODS: Paired pre-procedural panoramic radiographs and chest tomography scans were done in 177 consecutive patients between October 2016 and October 2017. Carotid calcium was quantified using NIH's ImageJ. Coronary artery calcium was quantified by the Agatston score using Philips Intellispace portal, v. 8.0.1.20640. RESULTS: Carotid calcium maximal intensity, area and perimeter were higher among patients with high coronary artery calcium. Non-zero carotid calcium was found in half of patients with high coronary artery calcium, doubling prevalence of low coronary artery calcium. CONCLUSION: Carotid calcium identified in panoramic radiographs was associated with high coronary artery calcium. Awareness of carotid calcium recognized by dental practitioners in low-cost, low radiation and commonly done panoramic radiographs may be useful to identify patients at risk of coronary disease with potential future cardiovascular events.
Authors: J P Lekakis; C M Papamichael; A T Cimponeriu; K S Stamatelopoulos; T G Papaioannou; J Kanakakis; M K Alevizaki; A Papapanagiotou; A T Kalofoutis; S F Stamatelopoulos Journal: Am J Cardiol Date: 2000-04-15 Impact factor: 2.778
Authors: Yun-Kyeong Cho; Chang-Wook Nam; Bon-Kwon Koo; Joshua Schulman-Marcus; Bríain Ó Hartaigh; Heidi Gransar; Yao Lu; Stephan Achenbach; Mouaz Al-Mallah; Daniele Andreini; Jeroen J Bax; Matthew J Budoff; Filippo Cademartiri; Tracy Q Callister; Hyuk-Jae Chang; Kavitha Chinnaiyan; Benjamin J W Chow; Ricardo C Cury; Augustin Delago; Gudrun Feuchtner; Martin Hadamitzky; Jörg Hausleiter; Philipp A Kaufmann; Yong-Jin Kim; Jonathon Leipsic; Erica Maffei; Hugo Marques; Gianluca Pontone; Gilbert L Raff; Ronen Rubinshtein; Leslee J Shaw; Todd C Villines; Daniel S Berman; Erica C Jones; Jessica M Peña; Fay Y Lin; James K Min Journal: PLoS One Date: 2018-12-12 Impact factor: 3.240