Determining factors in the development of coronary plates and obstructions

Bibliographic Details
Main Author: Muradas, Soraya Andrea Delefrate
Publication Date: 2020
Other Authors: Nakamura, Amanda Sayuri, Dornelas Neto, Jader, Lorencete, Taisa Valques, Oliveira, Daniel Vicentini de, Yamaguchi, Mirian Ueda
Format: Article
Language: eng
Source: ABCS Health Sciences (Online)
Download full: https://www.portalnepas.org.br/abcshs/article/view/1340
Summary: Introduction: Coronary artery disease is the largest cause of mortality in the world. The main risk factors for its development include systemic arterial hypertension and type 2 diabetes mellitus. Objective: To search for predictors of the development of plaques and obstructions in coronary arteries and to determine whether the exercise test is a reliable pretest for coronary angiotomography. Methods: 883 computed tomography reports of coronaries were analyzed. Sociodemographic information, health conditions and results of the exercise test from patients were collected, along with calcium score, percentile and number of arterial segments with significant obstruction. The data were analyzed using descriptive and inferential statistics. Significance was considered for p<0.05. Results: It observed that the statistically significant predictors to the calcium score were male, being over 60 years old, having type 2 diabetes mellitus and systemic arterial hypertension. There was no relationship with high BMI and coronary obstruction. Regarding the exercise test, it was possible to observe that the majority of individuals who were positive in the exercise test, did not have a positive calcium score or significant coronary obstructions. Conclusion: The predictors for the development of coronary plaques and obstructions were male, aged ≥60 years, having type 2 diabetes mellitus and systemic arterial hypertension.
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spelling Determining factors in the development of coronary plates and obstructionsFatores determinantes no desenvolvimento de placas e obstruções coronarianascardiovascular diseasescoronary diseaseangiographyatherosclerosislife styledoenças cardiovascularesdoença das coronáriasangiografiaateroscleroseestilo de vidaIntroduction: Coronary artery disease is the largest cause of mortality in the world. The main risk factors for its development include systemic arterial hypertension and type 2 diabetes mellitus. Objective: To search for predictors of the development of plaques and obstructions in coronary arteries and to determine whether the exercise test is a reliable pretest for coronary angiotomography. Methods: 883 computed tomography reports of coronaries were analyzed. Sociodemographic information, health conditions and results of the exercise test from patients were collected, along with calcium score, percentile and number of arterial segments with significant obstruction. The data were analyzed using descriptive and inferential statistics. Significance was considered for p<0.05. Results: It observed that the statistically significant predictors to the calcium score were male, being over 60 years old, having type 2 diabetes mellitus and systemic arterial hypertension. There was no relationship with high BMI and coronary obstruction. Regarding the exercise test, it was possible to observe that the majority of individuals who were positive in the exercise test, did not have a positive calcium score or significant coronary obstructions. Conclusion: The predictors for the development of coronary plaques and obstructions were male, aged ≥60 years, having type 2 diabetes mellitus and systemic arterial hypertension.Introdução: A doença arterial coronariana representa a maior causa de mortalidade no mundo, sendo que os principais fatores de risco para o seu desenvolvimento incluem a hipertensão arterial sistêmica e a diabetes mellitus tipo 2. Objetivo: Detectar os preditores para o desenvolvimento de placas e obstruções coronarianas detectadas através da tomografia computadorizada de artérias coronárias além de determinar se o teste de esforço é um pré-teste fidedigno para a realização angiotomografia coronariana. Métodos: Foi realizada análise de 883 laudos de exames de TC de coronárias e coletados dados sociodemográficos, de saúde e o resultado do teste de esforço, juntamente com escore de cálcio, percentil e quantidade de segmentos arteriais com obstruções significativas. Os dados foram analisados pela estatística descritiva e inferencial (p<0,05). Resultados: Foi possível observar que os preditores com valores estatisticamente significantes em relação ao escore de cálcio foi ser do sexo masculino, possuir idade acima de 60 anos, portar diabetes mellitus tipo 2 e hipertensão arterial sistêmica, não houve relação entre IMC elevado, que sugere sobrepeso, e obstrução coronariana. Em relação ao teste de esforço foi possível observar que a maioria dos indivíduos que apresentaram positividade no teste de esforço, não apresentavam escore de cálcio positivo ou obstruções coronarianas significativas. Conclusão: Os preditores para o desenvolvimento de placas e obstruções coronarianas foi pertencer ao sexo masculino, apresentar idade ≥60 anos, ser portadores de diabetes mellitus tipo 2 e hipertensão arterial sistêmica.    Núcleo de Estudos, Pesquisa e Assessoria à Saúde (NEPAS)2020-10-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://www.portalnepas.org.br/abcshs/article/view/134010.7322/abcshs.45.2020.1340ABCS Health Sciences; Vol. 45 (2020); e020015ABCS Health Sciences; v. 45 (2020); e0200152357-81142318-4965reponame:ABCS Health Sciences (Online)instname:Faculdade de Medicina do ABC (FMABC)instacron:FMABCenghttps://www.portalnepas.org.br/abcshs/article/view/1340/1101Copyright (c) 2020 Muradas et al.info:eu-repo/semantics/openAccessMuradas, Soraya Andrea DelefrateNakamura, Amanda SayuriDornelas Neto, JaderLorencete, Taisa ValquesOliveira, Daniel Vicentini deYamaguchi, Mirian Ueda2021-07-13T21:03:26Zoai:ojs.emnuvens.com.br:article/1340Revistahttp://www.portalnepas.org.br/abcshsPUBhttp://www.portalnepas.org.br/abcshs/oairicardo.souto@fmabc.br2357-81142318-4965opendoar:2021-07-13T21:03:26ABCS Health Sciences (Online) - Faculdade de Medicina do ABC (FMABC)false
dc.title.none.fl_str_mv Determining factors in the development of coronary plates and obstructions
Fatores determinantes no desenvolvimento de placas e obstruções coronarianas
title Determining factors in the development of coronary plates and obstructions
spellingShingle Determining factors in the development of coronary plates and obstructions
Muradas, Soraya Andrea Delefrate
cardiovascular diseases
coronary disease
angiography
atherosclerosis
life style
doenças cardiovasculares
doença das coronárias
angiografia
aterosclerose
estilo de vida
title_short Determining factors in the development of coronary plates and obstructions
title_full Determining factors in the development of coronary plates and obstructions
title_fullStr Determining factors in the development of coronary plates and obstructions
title_full_unstemmed Determining factors in the development of coronary plates and obstructions
title_sort Determining factors in the development of coronary plates and obstructions
author Muradas, Soraya Andrea Delefrate
author_facet Muradas, Soraya Andrea Delefrate
Nakamura, Amanda Sayuri
Dornelas Neto, Jader
Lorencete, Taisa Valques
Oliveira, Daniel Vicentini de
Yamaguchi, Mirian Ueda
author_role author
author2 Nakamura, Amanda Sayuri
Dornelas Neto, Jader
Lorencete, Taisa Valques
Oliveira, Daniel Vicentini de
Yamaguchi, Mirian Ueda
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Muradas, Soraya Andrea Delefrate
Nakamura, Amanda Sayuri
Dornelas Neto, Jader
Lorencete, Taisa Valques
Oliveira, Daniel Vicentini de
Yamaguchi, Mirian Ueda
dc.subject.por.fl_str_mv cardiovascular diseases
coronary disease
angiography
atherosclerosis
life style
doenças cardiovasculares
doença das coronárias
angiografia
aterosclerose
estilo de vida
topic cardiovascular diseases
coronary disease
angiography
atherosclerosis
life style
doenças cardiovasculares
doença das coronárias
angiografia
aterosclerose
estilo de vida
description Introduction: Coronary artery disease is the largest cause of mortality in the world. The main risk factors for its development include systemic arterial hypertension and type 2 diabetes mellitus. Objective: To search for predictors of the development of plaques and obstructions in coronary arteries and to determine whether the exercise test is a reliable pretest for coronary angiotomography. Methods: 883 computed tomography reports of coronaries were analyzed. Sociodemographic information, health conditions and results of the exercise test from patients were collected, along with calcium score, percentile and number of arterial segments with significant obstruction. The data were analyzed using descriptive and inferential statistics. Significance was considered for p<0.05. Results: It observed that the statistically significant predictors to the calcium score were male, being over 60 years old, having type 2 diabetes mellitus and systemic arterial hypertension. There was no relationship with high BMI and coronary obstruction. Regarding the exercise test, it was possible to observe that the majority of individuals who were positive in the exercise test, did not have a positive calcium score or significant coronary obstructions. Conclusion: The predictors for the development of coronary plaques and obstructions were male, aged ≥60 years, having type 2 diabetes mellitus and systemic arterial hypertension.
publishDate 2020
dc.date.none.fl_str_mv 2020-10-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.portalnepas.org.br/abcshs/article/view/1340
10.7322/abcshs.45.2020.1340
url https://www.portalnepas.org.br/abcshs/article/view/1340
identifier_str_mv 10.7322/abcshs.45.2020.1340
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.portalnepas.org.br/abcshs/article/view/1340/1101
dc.rights.driver.fl_str_mv Copyright (c) 2020 Muradas et al.
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Muradas et al.
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Núcleo de Estudos, Pesquisa e Assessoria à Saúde (NEPAS)
publisher.none.fl_str_mv Núcleo de Estudos, Pesquisa e Assessoria à Saúde (NEPAS)
dc.source.none.fl_str_mv ABCS Health Sciences; Vol. 45 (2020); e020015
ABCS Health Sciences; v. 45 (2020); e020015
2357-8114
2318-4965
reponame:ABCS Health Sciences (Online)
instname:Faculdade de Medicina do ABC (FMABC)
instacron:FMABC
instname_str Faculdade de Medicina do ABC (FMABC)
instacron_str FMABC
institution FMABC
reponame_str ABCS Health Sciences (Online)
collection ABCS Health Sciences (Online)
repository.name.fl_str_mv ABCS Health Sciences (Online) - Faculdade de Medicina do ABC (FMABC)
repository.mail.fl_str_mv ricardo.souto@fmabc.br
_version_ 1836732275100745728

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