Case: 46 years old male is admitted to ICU with a motor vehicle accident (MVA) for observation. Before discharging to the floor, the morning CXR was negative except for evidence of the calcification of the aortic arch out of his age proportion.
Answer: Calcification of the aortic arch is found to be associated with a higher risk of cardiovascular diseases and also associated with overall increased mortality. In a massive study of almost 140,000 patients who were followed for a median of 28 years, aortic arch calcification was found to have a relative risk [RR] of 1.3 in men and 1.2 in women for coronary heart disease (CHD). Also, this study found a 1.5-fold increased risk of ischemic stroke in women.
#cardiology
#radiology
Reference:
Iribarren C, Sidney S, Sternfeld B, Browner WS. Calcification of the aortic arch: risk factors and association with coronary heart disease, stroke, and peripheral vascular disease. JAMA 2000; 283:2810.
No comments:
Post a Comment