ArticleBMC surgery2022
Correlation analysis of coronary artery tortuosity and calcification score.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Abdominal aortic tortuosity is not associated with other vascular peripheral pathologies or classical cardiovascular risk factors.Scientific reports · 2026Article
- A Machine Learning Driven Approach to Quantifying Coronary Artery Tortuosity.JACC. Advances · 2026Article
- Design Rules for Robust Coronary Artery Segmentation: A Systematic Analysis of Dataset Size, Windowing, Architectures, and Vessel Geometry.Annals of biomedical engineering · 2026Article
- Tortuosity in non-atherosclerotic vascular diseases is associated with age, arterial aneurysms, and hypertension.Orphanet journal of rare diseases · 2024Article
- Effect of Sex, Age, and Cardiovascular Risk Factors on Aortoiliac Segment Geometry.Journal of clinical medicine · 2024Article
- A fully automated deep learning approach for coronary artery segmentation and comprehensive characterization.APL bioengineering · 2024Article
- Coronary Tortuosity as a New Phenotype for Ischemia without Coronary Artery Disease.Arquivos brasileiros de cardiologia · 2022Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundCoronary artery tortuosity (CAT) is regarded as a variation of vascular anatomy, and its relationship with coronary artery calcification (CAC) score is still not well clarified. Studying the correlation between coronary artery calcification scores and CAT to determine specific prevention and intervention populations seems to have more meaningful.
methodsThe study is a cross-sectional retrospective study, including 1280 patients. CAT is defined as the presence of at least three consecutive curvatures of more than 45°measured during systole or diastole of a major epicardial coronary artery. Multivariable regression analysis was used to adjust the clinical parameters directly affecting CAT.
resultsOf these individuals, 445 (35%) were evaluated having CAT, of which females are higher than males (59.1% vs. 40.9%). Moderate CAC score (101-400) (odds ratio (OR) 1.49, 95% confidence interval [95%CI] 1.05-2.10, P = 0.025) revealed significantly associated with CAT on univariable analysis. However, multivariable analysis after adjusting for confounding factors only indicated that CAT was positively correlated with female (OR 1.68, 95%CI 1.30-2.17, P < 0.001), hypertension (OR 1.35, 95% CI 1.04-1.75, P = 0.024), and age (OR 1.02, 95% CI 1.01-1.03, P = 0.001), while was negatively associated with body mass index (BMI) 24-27.9(OR 0.76, 95% CI 0.58-1.00, P = 0.044), and BMI > 28 (OR 0.46, 95% CI 0.31-0.68, P < 0.001). Further analysis stratified by gender showed that compared with non-CAT, CAT was significantly linked with moderate CAC score (OR 1.79, 95% CI 1.00-3.20, P = 0.048), hypertension (OR 1.54, 95% CI 1.07-2.22, P = 0.021), and high-density lipoprotein (HDL) (OR 1.86, 95% CI 1.07-3.24, P = 0.028), while was negatively related to BMI > 28 (OR 0.51, 95% CI 0.31-0.84, P = 0.008) in female patients.
conclusionsCAT is more likely to be found in females, connected with hypertension, age, and BMI. No significant correlation is found between the presence of tortuosity and calcium score or diameter stenosis on multivariable analysis. Whereas the CAT is associated with moderate CAC score in correlation analysis when women are selected as the main group.
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