TY  - BOOK
AU  - Giladi, Aviram M
TI  - Coronary Artery Disease Association With Arterial Calcifications on Routine Hand Radiographs
SN  - 0363-5023
PY  - 2019///
KW  - *Coronary Artery Disease/di [Diagnosis]
KW  - *Hand/bs [Blood Supply]
KW  - *Hand/dg [Diagnostic Imaging]
KW  - *Vascular Calcification/dg [Diagnostic Imaging]
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - Coronary Angiography
KW  - Exercise Test
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Retrospective Studies
KW  - Risk Factors
KW  - Curtis National Hand Center
KW  - Journal Article
N1  - Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
N2  - CONCLUSIONS: The current data demonstrate that arterial calcifications on hand radiographs are independently associated with CAD. This may represent an opportunity to the treating physician as a point of referral or investigation for underlying or occult CAD; METHODS: A record review from a single institution identified 345 patients with both hand radiographs and CAD screening with cardiac stress testing or coronary angiography. Patients with chronic kidney disease, end-stage renal disease, or incomplete hand films were excluded. We reviewed x-rays for findings of arterial calcifications. Cardiac testing results were used to establish a baseline diagnosis of CAD. We made group comparisons and employed multivariable logistic regression to evaluate the association between upper-extremity calcification and CAD; PURPOSE: Arterial calcifications in the lower extremity, chest, and cardiac vessels have been linked to coronary artery disease (CAD). However, the relation between arterial calcifications observed on routine hand and upper-extremity radiographs and atherosclerosis has not been determined. This study examined whether arterial calcifications found on hand radiographs are associated with CAD; RESULTS: A total of 210 patients met inclusion criteria: 155 with CAD and 55 without it. Mean age was 72 years, body mass index was 28.8, and 54% were male. Patients had comorbidities of hypertension (91%), hyperlipidemia (87%), diabetes (39%), cerebrovascular accident (9%), and a history of tobacco use (53%). Of 155 CAD patients, 67 had arterial calcifications on hand radiographs (43%), compared with 6 of 55 without it (11%). In a multivariable model controlling for sex, hyperlipidemia, and diabetes, the presence of arterial calcifications on hand plain films indicated a 6.2-fold increased odds of CAD; TYPE OF STUDY/LEVEL OF EVIDENCE: Prevalence III. Copyright (c) 2019 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved
UR  - https://dx.doi.org/10.1016/j.jhsa.2019.10.004
UR  - https://dx.doi.org/10.1016/j.jhsa.2019.10.004
ER  -