IMAGING CHARACTERISTICS OF CORONARY ARTERY LESIONS BY COMPUTED TOMOGRAPHY IN DIABETES PATIENTS ACCORDING TO CAD - RADS CLASSIFICATION
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Abstract
Objectives: To study the characteristics of coronary artery lesions in diabetes patients by computerized tomography according to CAD-RADS classification. Subjects and methods: A retrospective, descriptive cross-sectional study performed on 67 diabetic patients undergoing coronary computed tomography angiography at the University Medicine Center in Ho Chi Minh City from January, 2017 to Decmeber, 2021. Result: The rate of coronary heart disease is 71.6%. In which, patients with coronary artery stenosis are more dominant than those with single branch coronary artery stenosis; the most common left anterior descending artery (LAD) stenosis; stenosis < 50% (CAD - RADS < 3) has the same rate as stenosis ³ 50% (CAD - RADS ³ 3). Calcified atherosclerotic plaque accounted for the majority (58.3%). The group with diabetes for ³ 10 years had more severe CAD-RADS stenosis, as well as a higher rate of multivessel lesions and coronary calcification scores than the group with diabetes < 10 years. Conclusion: The results of our study demonstrate the role of duration of diabetes for detecting the degree of stenosis and the risk of CAD, and suggest a potential of evaluation CAD by Coronary Computed Tomography Angiography in patients with longer diabetes duration.
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Keywords
CAD – RADS, Diabetes, Coronary Computed Tomography Angiography
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