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

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).