PhD Scientific Days 2022

Budapest, 6-7 July 2022

Clinical Medicine V. (Poster discussion will take place in the Aula during the Coffee Break)

The Presence of Adverse Atherosclerotic Coronary Plaque Features is Associated with Diabetes

Előadó neve

Dr. Simon, Simon

Előadó munkahelye

Semmelweis University

Előadó telefonszáma

(20) 825 8056

Előadó e-mail címe

juditsimon21@gmail.com

Az előadás címe

The Presence of Adverse Atherosclerotic Coronary Plaque Features is Associated with Diabetes

Szerző(k) neve és munkahelye

Judit Simon1,2, Márton Kolossváry2, Bálint Szilveszter2, Anna
Sára Kardos1, Emese Zsarnóczay1, Melinda Boussoussou2, Borbála Vattay2, Béla Merkely,2 Pál Maurovich-
Horvat1,2

1 Medical Imaging Centre, Semmelweis University, Budapest, Hungary
2 Heart and Vascular Center, Semmelweis University, Budapest, Hungary

Bemutatás módja

Poszter

Szekció

Clinical Medicine V. (Poster discussion will take place in the Aula during the Coffee Break)

Language of the presentation

English

Preferred session

Clinical Medicine

Összefoglaló szövege

Introduction: Diabetes mellitus (DM) is associated with increased cardiovascular morbidity and mortality. However, there is a lack of data about the prevalence of high-risk coronary artery plaques in patients with DM.
Aims: In our study we aimed to compare the prevalence of adverse atherosclerotic coronary artery plaque features between patients with and without DM.
Methods: We have analyzed the data of patients who underwent coronary computed tomography angiography (CCTA) between October 2012 and December 2020. Patients were divided into two groups based on the presence of DM.
Results: After exclusion, 11357 patients (47.6% men) were included in our study. Prevalence of DM was 14.5%. There were significant differences in age (63.2±9.5 vs 58.1±12.2 years, <0.001) and major cardiovascular risk factors between the two groups (all <0.05). While 29.6% of patients without DM had at least one high risk plaque, this rate was 38.9% in those with DM (positive remodeling: 19.6% vs 26.1%, low attenuation: 7.6% vs 10.2%, spotty calcium: 16.9% vs 21.6%, napkin-ring sign: 1.7% vs 2.6%, all p<0.05). Using multivariate analysis we found that DM increases the prevalence of any vulnerable plaque feature 1.26 (CI=1.13-1.41, p<0.001) times.
Conclusion: The prevalence of severe coronary artery stenosis and coronary plaques with adverse characteristics was higher in patients with DM. DM has been identified as an individual predictor of vulnerable plaque features.

University and Doctoral School

Semmelweis University, Doctoral School of Theoretical and Translational Medicine

Supervisor

Pál Maurovich-Horvat

Publication of my abstract

I give consent to the publication of my abstract on the website of the congress.

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

4770

Start

11:25

End

11:30

Authors (legacy)

Judit Simon1,2, Márton Kolossváry2, Bálint Szilveszter2, Anna
Sára Kardos1, Emese Zsarnóczay1, Melinda Boussoussou2, Borbála Vattay2, Béla Merkely,2 Pál Maurovich-
Horvat1,2

1 Medical Imaging Centre, Semmelweis University, Budapest, Hungary
2 Heart and Vascular Center, Semmelweis University, Budapest, Hungary