Document Detail

Correlation between intramammary arterial calcifications and CAD.
MedLine Citation:
PMID:  17236987     Owner:  NLM     Status:  MEDLINE    
RATIONALE AND OBJECTIVES: To evaluate the relationship between intramammary arterial calcifications detected by screening mammography and concomitant coronary artery disease, detected by coronary angiography. MATERIALS AND METHODS: We retrospectively evaluated screening mammography and coronary angiography results of 131 consecutive patients, ages 42-81 years. Risk factors for coronary artery disease (hypertension, diabetes mellitus, dyslipidemia, smoking, and obesity) were obtained from medical records to identify possible simultaneous risk factors for coronary artery disease. RESULTS: Eighty-five women had coronary artery disease (41 with intramammary arterial calcifications and 44 without such calcifications) and 46 had normal coronary angiography (11 had intramammary arterial calcifications and 35 did not). A strong association between intramammary arterial calcifications and coronary artery disease was seen, with an OR of 2.96 and P = .006 in the raw model and OR of 4.6 in the adjusted one. The evaluated risk factors did not present as confounding variables. Most patients had only two risk factors or less. The most prevalent risk factor for coronary artery disease was hypertension, with significantly higher prevalence in the coronary artery disease group (P < .01). CONCLUSION: A strong association exists between intramammary arterial calcifications and coronary artery disease. Therefore a mammographic finding of intramammary arterial calcification should receive more of the radiologists' attention and its presence should never be omitted from the final report.
Eliane M P Fiuza Ferreira; Jacob Szejnfeld; Salomão Faintuch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic radiology     Volume:  14     ISSN:  1076-6332     ISO Abbreviation:  Acad Radiol     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-22     Completed Date:  2007-04-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9440159     Medline TA:  Acad Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  144-50     Citation Subset:  IM    
Department of Diagnostic Imaging, Saint Raphael Hospital, Mount Tabor Foundation, Salvador-BA, Brazil Av. São Rafael, 2152 São Marcos, Salvador-BA, Brazil CEP- 41256-90.
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MeSH Terms
Aged, 80 and over
Breast / blood supply*
Breast Diseases / pathology*,  radiography*
Calcinosis / pathology*,  radiography*
Coronary Angiography
Coronary Artery Disease / pathology*,  radiography*
Logistic Models
Middle Aged
Retrospective Studies
Risk Factors
Statistics, Nonparametric

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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