Purpose
Multi-detector computed tomography coronary angiography (CTA) is a robust method for the non-invasive diagnosis of coronary artery disease (CAD).
The purpose of our study was ethnical and gender characteristics of coronary atherosclerosis in people of Kazakhstan using computer tomography
Methods and Materials
Research carried out on Multislice computed tomography (MSCT) «Somatom Definition AS 64»,
Siemens company,
Germany,
with prospective cardiac synchronization and reconstruction with 0.6 mm slice thickness.
There were studied 2586 patients in aperiod from September 2008 to October 2016 with a primary diagnosis of coronary heart disease and patients without any complaints on heart disease,
the average age was 66.6 years.
From all amount of patients atherosclerotic vascular changes were revealed in 2020 (78,1%) and 566 (21,8%) patients were healthy.
Patients divided by gender characteristics:...
Results
In a retrospective analysis on a computed tomography angiography in 2020 (men - 1447,
women - 573) patients with a primary diagnosis of ischemic heart disease single-vessel disease was identified in men: 600 (57,9%) Asians and 300 (72,9%) Europeans; in women: 155 (67,6%) Asians and 45 (69,2%) Europeans; multi-vessel disease – in men: 436 (42,0%) Asians and 111 (27,0%) Europeans; in women - 74 (32,3%) Asians and 20 (30,7%) Europeans.
At the comparative analysis,
the frequency of the individual lesions of the coronary arteries was...
Conclusion
CT angiography is a highly sensitive and non-invasive diagnostic method that determines the nature and degree of atherosclerotic lesions of the coronary arteries.
In the group of Asian men,
the left coronary artery is more affected and multi-vessel lesions of CA with a stenosis of more than 50-75% are detected.
Among European men,
the right coronary artery is more often involved and single-vessel lesions with a stenosis of 50-75% are detected.
Among the women studied,
there were no significant differences in the lesion of the...