A 5 years follow-up for ischemic cardiac outcomes in patients with carotid artery calcification on panoramic radiographs confirmed by doppler ultrasonography in Turkish population

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dc.contributor.authorAkkemik, Ozlem
dc.contributor.authorKazaz, Hakki
dc.contributor.authorTamsel, Sadik
dc.contributor.authorDundar, Nesrin
dc.contributor.authorSahinalp, Sahin
dc.contributor.authorEllidokuz, Hulya
dc.date.accessioned2020-12-01T12:05:24Z
dc.date.available2020-12-01T12:05:24Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: To evaluate the diagnostic accuracy of digital panoramic radiograph (DPR) for detection of carotid artery calcification (CAC) confirmed by Doppler Ultrasonography (DUSG) and to clarify the relationship between between CAC identified by DPR and cardiovascular events through a 5 year follow-up period. Methods: of 3600 consecutive patients examined, 158 patients presented with CAC as detected by DPR. the final study group was composed of 96 patients who had CAC confirmed by DUSG or CT angiogram. the control group was composed of 62 patients who has normal DUSG. the end point of the study was the occurrence of any cardiovascular event. Results: 72 (75%) of the 96 patients with CAC confirmed by DUSG (16 patients had significant stenosis) had bilateral and 24 (25%) had unilateral CAS as detected by DUSG. There was a low agreement between the examination results with a kappa value of 0.488 (p < 0.005) for calcification. Study data revealed that smoking, chronic obstructive pulmonary disease (COPD), diabetes mellitus (DM) and diastolic hypertension were significantly more common in patients with CAC than the control group (p < 0.05). During the follow-up period, 13 subjects had myocardial infarction and 1 subject died; in the control group, 1 patient died after MI and 1 patient died of a non-cardiac event. Conclusion: Patients with CAC detectable by DPR concomitant with COPD, DM, smoking or diastolic hypertension are more likely to suffer from vascular events. Therefore, patients with detectable carotid plaque in DPR require referral to a cardiovascular surgery clinic for further investigations.en_US
dc.identifier.doi10.1259/dmfr.20190440en_US
dc.identifier.issn0250-832X
dc.identifier.issn1476-542X
dc.identifier.issue4en_US
dc.identifier.pmid32058807en_US
dc.identifier.scopus2-s2.0-85083913230en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1259/dmfr.20190440
dc.identifier.urihttps://hdl.handle.net/11454/62985
dc.identifier.volume49en_US
dc.identifier.wosWOS:000528252700007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBritish Inst Radiologyen_US
dc.relation.ispartofDentomaxillofacial Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCarotid artery calcificationen_US
dc.subjectPanoramic radiographyen_US
dc.subjectUltrasonographyen_US
dc.subjectcardiovascular eventsen_US
dc.titleA 5 years follow-up for ischemic cardiac outcomes in patients with carotid artery calcification on panoramic radiographs confirmed by doppler ultrasonography in Turkish populationen_US
dc.typeArticleen_US

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