Coronary computed tomography angiography findings in young adults
Künye
Eldes, T. & Kesimal, U. (2022). Coronary computed tomography angiography findings in young adults. Zeynep Kamil medical journal, 53(29, 93-98. http://doi.org/10.14744/zkmj.2022.82713Özet
Objective: Various clinically significant cardiovascular anomalies of coronary arteries
that are not associated with atherosclerosis have been previously described. This
study aimed to evaluate coronary anomalies or variations on coronary computed tomography angiography (CCTA) images in patients aged under 40 years and to compare them with clinical findings, thereby contributing to the literature.
Material and Methods: Patients under 40 years who underwent CCTA with current
clinical indications between 2015 and 2018 were included in the study. The scans
were performed using a 128-slice CT device and electrocardiography triggering in
different phases. During the examination, 35%–75% of phases were frequently evaluated although the percentage varied according to the heart rate. Outlet, course,
internal structure and termination anabolites, and pathologies, as well as anatomical
dominance of coronary arteries, were evaluated. However, unlike this classification,
myocardial bridges (MBs) were specified as variations. Coronary artery disease reporting and data system (CAD-RADS) was used to standardize stenosis rates in the
walls of coronary arteries and their lumen.
Results: Of the 927 CCTAs taken over a 3-year period, 188 belonged to patients
under 40 years. The study included 156 men and 32 women with a mean age of
34.99±4.78 years. In the comparison between the patients with and without chest
pain in terms of the presence of CAD-RADS 1 and above, a statistically significant
higher rate of CAD was found in the group with chest pain (p<0.05). Abnormal cardiac findings and variations were detected in 103 patients (55%), including 16 with
multiple abnormalities. Of these 103 patients, 49 (26%) had MBs.
Conclusion: Considering the presence of anomalies and variations in young adults
with cardiac complaints, the reasons for the ambiguous symptoms may become clear
with the use of noninvasive methods, such as CCTA. Thus, cardiovascular anomalies
that may cause serious and acute events in the future, including sudden death can be
detected in advance, allowing early interventions to be undertaken.