Multispiral Computed Tomography as a Universal Screening Method for Stable Coronary Artery Disease and Non-Coronarogenic Heart Diseases

V. N. Serediuk, M. V. Paliienko, I. M. Sokolovskyi


Coronary bed condition in patients with different clinical forms of ischemic heart disease and painless myocardial ischemia was investigated in order to visualize atherosclerotic changes in coronary vessels during screenings.

The results of multispiral computed tomography in 29 patients with different forms of coronary arteries disorders (stable coronary artery disease, unstable angina, painless myocardial ischemia) and in patients without severe coronary symptoms were analyzed in order to determine “calcium score” as a marker of atherosclerotic coronary vascular disease. Relation between the degree of increase in the coronary calcium score (CCS) (particularly in patients with hypertensive crisis in case history) and basic cardiodynamic characteristics was observed in patients with increased CCS. Reliable correlation between CCS and aortic stiffness index (r=0.82; p≤0.01), between CCS and pulse pressure (r=0.63; p< 0.05).


coronary artery disease; coronary calcium score; atherosclerotic disease; pulse pressure; aortic stiffness index

Full Text:



Zalesskyi VN, Dynnyk OB. Coronary tomographic diagnostics: new imaging techniques in the clinic. Studies of modern instrumental diagnostics. Issue 4. Kyiv. 2007; 280.

Kovalenko VM, Kornatskyi VM. Regional medical and social problems of cardiovascular diseases. Dynamics and analysis. Kyiv. 2013; 239.

Radchenko GD, Sirenko YuN. Pulse pressure and aortic stiffness index: impact on the prognosis in patients with hypertension who have undergone treatment in a specialized department. Arterialna hipertenziia. 2009; 2 (4): 37−43.

Kornatskyi VM, Dorohoy AP, Samoilenko TS [et al.] Cardiovascular morbidity in Ukraine and recommendations to improve health in modern conditions: analytical and statistical manual. Kyiv. 2012; 117.

Mark J. Non-Optimal Lipids Commonly Present in Young Adults and Coronary Calcium Later in life. The Coronary Artery Risk Development in young Adults (CARDIA) Study. Internal Medicine 2010;153(3):137-146. Available from: doi: 10.7326/0003-4819-153-3-201008030-00004.

Hiramatsu K, Oiwa A, Shigematsu S. [et al.]A novel arterian stiffness index (ASI) as a marker of atherosclerosis. Amer. J. Hypertension. 2004; 17: 131.

Agatston AS, Janowitz WR, Hildner FJ [et al.]. Quantification of coronary artery calcium using ultrafast computed tomography. Am. J. Coll. Cardiol. 1990; 15: 27-32

Copyright (c) 2017 V. N. Serediuk, M. V. Paliienko, I. M. Sokolovskyi

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


Free counters!