Aortic arch calcification with pericardial fat mass detected on a single chest X-ray image is closely associated with the predictive variables of future cardiovascular disease

This study evaluated the associations between aortic arch calcification (AAC) with pericardial fat (PF) mass detected on a single chest X-ray image and predictive variables of future cardiovascular disease (CVD). The subjects were 353 patients treated with at least one of the hypertension, dyslipide...

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Veröffentlicht in:Heart and vessels 2022-04, Vol.37 (4), p.654-664
Hauptverfasser: Watanabe, Kentaro, Hada, Yurika, Ishii, Kota, Nagaoka, Kyoko, Takase, Kaoru, Kameda, Wataru, Susa, Shinji, Saigusa, Taro, Egashira, Fujiko, Ishihara, Hisamitsu, Ishizawa, Kenichi
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container_issue 4
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container_title Heart and vessels
container_volume 37
creator Watanabe, Kentaro
Hada, Yurika
Ishii, Kota
Nagaoka, Kyoko
Takase, Kaoru
Kameda, Wataru
Susa, Shinji
Saigusa, Taro
Egashira, Fujiko
Ishihara, Hisamitsu
Ishizawa, Kenichi
description This study evaluated the associations between aortic arch calcification (AAC) with pericardial fat (PF) mass detected on a single chest X-ray image and predictive variables of future cardiovascular disease (CVD). The subjects were 353 patients treated with at least one of the hypertension, dyslipidemia or diabetes. All subjects were evaluated for AAC; divided into 3 groups with AAC grades of 0, 1, or 2; and examined for the presence of PF. Carotid intima-media thickness (IMT, n  = 353), cardio-ankle vascular index (CAVI, n  = 218), the Suita score ( n  = 353), and cardiovascular risk points defined in the Hisayama study ( n  = 353), an assessment of the risk of future cardiovascular disease, were measured. The relationship of AAC grades, with or without PF, and CVD risks was evaluated. The IMT (1.62 ± 0.74 mm, 2.33 ± 1.26, and 2.43 ± 0.89 in patients with AAC grade 0, 1 and 2, respectively, p  
doi_str_mv 10.1007/s00380-021-01948-2
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The subjects were 353 patients treated with at least one of the hypertension, dyslipidemia or diabetes. All subjects were evaluated for AAC; divided into 3 groups with AAC grades of 0, 1, or 2; and examined for the presence of PF. Carotid intima-media thickness (IMT, n  = 353), cardio-ankle vascular index (CAVI, n  = 218), the Suita score ( n  = 353), and cardiovascular risk points defined in the Hisayama study ( n  = 353), an assessment of the risk of future cardiovascular disease, were measured. The relationship of AAC grades, with or without PF, and CVD risks was evaluated. The IMT (1.62 ± 0.74 mm, 2.33 ± 1.26, and 2.43 ± 0.89 in patients with AAC grade 0, 1 and 2, respectively, p  &lt; 0.001), CAVI (8.09 ± 1.32, 8.71 ± 1.32, and 9.37 ± 1.17, respectively, p  &lt; 0.001), the Suita score (46.6 ± 10.7, 51.8 ± 8.3, and 54.2 ± 8.2, respectively, p  &lt; 0.001), and cardiovascular risk points (8.5 ± 2.6, 10.6 ± 2.3, and 11.5 ± 2.3, respectively, p  &lt; 0.001) were significantly elevated with AAC progression. Multinomial logistic regression analysis adjusted for clinical characteristics showed that the relative risk ratios of the Suita score or cardiovascular risk points were elevated according to the progress of AAC grade with PF. 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The subjects were 353 patients treated with at least one of the hypertension, dyslipidemia or diabetes. All subjects were evaluated for AAC; divided into 3 groups with AAC grades of 0, 1, or 2; and examined for the presence of PF. Carotid intima-media thickness (IMT, n  = 353), cardio-ankle vascular index (CAVI, n  = 218), the Suita score ( n  = 353), and cardiovascular risk points defined in the Hisayama study ( n  = 353), an assessment of the risk of future cardiovascular disease, were measured. The relationship of AAC grades, with or without PF, and CVD risks was evaluated. The IMT (1.62 ± 0.74 mm, 2.33 ± 1.26, and 2.43 ± 0.89 in patients with AAC grade 0, 1 and 2, respectively, p  &lt; 0.001), CAVI (8.09 ± 1.32, 8.71 ± 1.32, and 9.37 ± 1.17, respectively, p  &lt; 0.001), the Suita score (46.6 ± 10.7, 51.8 ± 8.3, and 54.2 ± 8.2, respectively, p  &lt; 0.001), and cardiovascular risk points (8.5 ± 2.6, 10.6 ± 2.3, and 11.5 ± 2.3, respectively, p  &lt; 0.001) were significantly elevated with AAC progression. Multinomial logistic regression analysis adjusted for clinical characteristics showed that the relative risk ratios of the Suita score or cardiovascular risk points were elevated according to the progress of AAC grade with PF. 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Hada, Yurika ; Ishii, Kota ; Nagaoka, Kyoko ; Takase, Kaoru ; Kameda, Wataru ; Susa, Shinji ; Saigusa, Taro ; Egashira, Fujiko ; Ishihara, Hisamitsu ; Ishizawa, Kenichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-5a51d87df4b0739d13c1dfd700f57f7ad0a5023473c0dcac984be220fcf630c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Ankle</topic><topic>Aorta</topic><topic>Aortic arch</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Body fat</topic><topic>Calcification</topic><topic>Calcification (ectopic)</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Chest</topic><topic>Diabetes mellitus</topic><topic>Dyslipidemia</topic><topic>Evaluation</topic><topic>Health risks</topic><topic>Heart diseases</topic><topic>Hypertension</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine &amp; 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The subjects were 353 patients treated with at least one of the hypertension, dyslipidemia or diabetes. All subjects were evaluated for AAC; divided into 3 groups with AAC grades of 0, 1, or 2; and examined for the presence of PF. Carotid intima-media thickness (IMT, n  = 353), cardio-ankle vascular index (CAVI, n  = 218), the Suita score ( n  = 353), and cardiovascular risk points defined in the Hisayama study ( n  = 353), an assessment of the risk of future cardiovascular disease, were measured. The relationship of AAC grades, with or without PF, and CVD risks was evaluated. The IMT (1.62 ± 0.74 mm, 2.33 ± 1.26, and 2.43 ± 0.89 in patients with AAC grade 0, 1 and 2, respectively, p  &lt; 0.001), CAVI (8.09 ± 1.32, 8.71 ± 1.32, and 9.37 ± 1.17, respectively, p  &lt; 0.001), the Suita score (46.6 ± 10.7, 51.8 ± 8.3, and 54.2 ± 8.2, respectively, p  &lt; 0.001), and cardiovascular risk points (8.5 ± 2.6, 10.6 ± 2.3, and 11.5 ± 2.3, respectively, p  &lt; 0.001) were significantly elevated with AAC progression. Multinomial logistic regression analysis adjusted for clinical characteristics showed that the relative risk ratios of the Suita score or cardiovascular risk points were elevated according to the progress of AAC grade with PF. Therefore, aortic arch calcification with pericardial mass detected on a single chest X-ray image is closely associated with the predictive variables of future CVD.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>34585276</pmid><doi>10.1007/s00380-021-01948-2</doi><tpages>11</tpages></addata></record>
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subjects Ankle
Aorta
Aortic arch
Biomedical Engineering and Bioengineering
Body fat
Calcification
Calcification (ectopic)
Cardiac Surgery
Cardiology
Cardiovascular disease
Cardiovascular diseases
Chest
Diabetes mellitus
Dyslipidemia
Evaluation
Health risks
Heart diseases
Hypertension
Medical imaging
Medicine
Medicine & Public Health
Original Article
Patients
Regression analysis
Vascular Surgery
title Aortic arch calcification with pericardial fat mass detected on a single chest X-ray image is closely associated with the predictive variables of future cardiovascular disease
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