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Coronary calcification in adults with Turner syndrome
by
Hannah-Shmouni, Fady
, Hanover, John A
, Abd-Elmoniem, Khaled Z
, Gharib, Ahmed M
, Ghanem, Ahmed M
, Matta, Jatin
, Schoepp, Marissa
in
631/208/2489/1381
/ 692/699/75/593/2193
/ 692/700/1750
/ Adult
/ Atherosclerosis
/ Biomedical and Life Sciences
/ Biomedicine
/ brief-report
/ Calcification
/ Calcification, Physiologic - physiology
/ Calcinosis - metabolism
/ Calcinosis - physiopathology
/ Cardiomyopathies - physiopathology
/ Computed Tomography Angiography - methods
/ Confidence intervals
/ Coronary Artery Disease - physiopathology
/ Female
/ Genetic disorders
/ Health risk assessment
/ Human Genetics
/ Humans
/ Laboratory Medicine
/ Middle Aged
/ Plaque, Atherosclerotic - physiopathology
/ Prevalence
/ Prospective Studies
/ Risk Assessment
/ Risk Factors
/ Turner Syndrome - physiopathology
2018
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Coronary calcification in adults with Turner syndrome
by
Hannah-Shmouni, Fady
, Hanover, John A
, Abd-Elmoniem, Khaled Z
, Gharib, Ahmed M
, Ghanem, Ahmed M
, Matta, Jatin
, Schoepp, Marissa
in
631/208/2489/1381
/ 692/699/75/593/2193
/ 692/700/1750
/ Adult
/ Atherosclerosis
/ Biomedical and Life Sciences
/ Biomedicine
/ brief-report
/ Calcification
/ Calcification, Physiologic - physiology
/ Calcinosis - metabolism
/ Calcinosis - physiopathology
/ Cardiomyopathies - physiopathology
/ Computed Tomography Angiography - methods
/ Confidence intervals
/ Coronary Artery Disease - physiopathology
/ Female
/ Genetic disorders
/ Health risk assessment
/ Human Genetics
/ Humans
/ Laboratory Medicine
/ Middle Aged
/ Plaque, Atherosclerotic - physiopathology
/ Prevalence
/ Prospective Studies
/ Risk Assessment
/ Risk Factors
/ Turner Syndrome - physiopathology
2018
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Coronary calcification in adults with Turner syndrome
by
Hannah-Shmouni, Fady
, Hanover, John A
, Abd-Elmoniem, Khaled Z
, Gharib, Ahmed M
, Ghanem, Ahmed M
, Matta, Jatin
, Schoepp, Marissa
in
631/208/2489/1381
/ 692/699/75/593/2193
/ 692/700/1750
/ Adult
/ Atherosclerosis
/ Biomedical and Life Sciences
/ Biomedicine
/ brief-report
/ Calcification
/ Calcification, Physiologic - physiology
/ Calcinosis - metabolism
/ Calcinosis - physiopathology
/ Cardiomyopathies - physiopathology
/ Computed Tomography Angiography - methods
/ Confidence intervals
/ Coronary Artery Disease - physiopathology
/ Female
/ Genetic disorders
/ Health risk assessment
/ Human Genetics
/ Humans
/ Laboratory Medicine
/ Middle Aged
/ Plaque, Atherosclerotic - physiopathology
/ Prevalence
/ Prospective Studies
/ Risk Assessment
/ Risk Factors
/ Turner Syndrome - physiopathology
2018
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Journal Article
Coronary calcification in adults with Turner syndrome
2018
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Overview
Purpose
Adults with Turner syndrome (TS) have an increased predisposition to ischemic heart disease. The quantitative relationship between coronary atherosclerosis and TS has yet to be established.
Methods
A total of 128 females (62 with TS) participated in this prospective study. Coronary computed tomography angiography was performed to measure coronary calcified plaque burden, and prevalent noncalcified plaque burden. Regression analysis was used to study the effects of TS and traditional cardiovascular disease risk factors on coronary plaque burden.
Results
Adults with TS were 63% more likely to have coronary calcifications than controls (odds ratio 1.63, 95% confidence interval: 1.02, 2.61,
P
= 0.04), with an age cutoff of 51.7 years for a probability of >50% for the presence of coronary calcifications, when compared to 55.7 years in female controls. The average age of TS patients with calcified plaques was significantly lower than that of controls with calcified plaques (51.5 ± 8.9 years vs. 60.5 ± 7.0 years,
P
< 0.001). Age increased the likelihood of coronary calcifications by 13% per year (odds ratio 1.13, confidence interval 95%: 1.07–1.19,
P
< 0.001).
Conclusion
This study demonstrates a higher prevalence and earlier onset of calcified coronary plaques in TS. These findings have important implications for cardiovascular risk assessment and the management of patients with TS.
Publisher
Nature Publishing Group US,Elsevier Limited
Subject
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