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Arterial Calcification on Wrist Radiographs May Suggest Need for Evaluation of Atherosclerosis in Asymptomatic Individuals

Asymptomatic individuals with significant coronary artery disease (CAD) are at risk for unanticipated cardiac events including myocardial infarction (MI). Laboratory studies, stress tests, and coronary artery imaging including coronary artery calcium (CAC) scoring evaluate at-risk individuals. Hand...

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Autores principales: Watchmaker, Lauren E., Watchmaker, Jennifer M., Watchmaker, Greg P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636529/
https://www.ncbi.nlm.nih.gov/pubmed/31355040
http://dx.doi.org/10.1155/2019/6156948
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author Watchmaker, Lauren E.
Watchmaker, Jennifer M.
Watchmaker, Greg P.
author_facet Watchmaker, Lauren E.
Watchmaker, Jennifer M.
Watchmaker, Greg P.
author_sort Watchmaker, Lauren E.
collection PubMed
description Asymptomatic individuals with significant coronary artery disease (CAD) are at risk for unanticipated cardiac events including myocardial infarction (MI). Laboratory studies, stress tests, and coronary artery imaging including coronary artery calcium (CAC) scoring evaluate at-risk individuals. Hand and wrist x-rays demonstrating significant arterial wall calcification may provide an additional means to identify asymptomatic individuals at risk for cardiac events. Here we report a case series of patients without known cardiac disease who demonstrated significant calcium deposits in the radial and/or ulnar arteries in radiographs performed for evaluation of their hand conditions. Each series patient was subsequently found to have calcification on coronary artery imaging and an elevated risk of future cardiac events. Our series suggests that peripheral arterial calcifications observed by radiologists and hand specialists may warrant systemic evaluation for atherosclerosis in other areas of the body.
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spelling pubmed-66365292019-07-28 Arterial Calcification on Wrist Radiographs May Suggest Need for Evaluation of Atherosclerosis in Asymptomatic Individuals Watchmaker, Lauren E. Watchmaker, Jennifer M. Watchmaker, Greg P. Case Rep Radiol Case Report Asymptomatic individuals with significant coronary artery disease (CAD) are at risk for unanticipated cardiac events including myocardial infarction (MI). Laboratory studies, stress tests, and coronary artery imaging including coronary artery calcium (CAC) scoring evaluate at-risk individuals. Hand and wrist x-rays demonstrating significant arterial wall calcification may provide an additional means to identify asymptomatic individuals at risk for cardiac events. Here we report a case series of patients without known cardiac disease who demonstrated significant calcium deposits in the radial and/or ulnar arteries in radiographs performed for evaluation of their hand conditions. Each series patient was subsequently found to have calcification on coronary artery imaging and an elevated risk of future cardiac events. Our series suggests that peripheral arterial calcifications observed by radiologists and hand specialists may warrant systemic evaluation for atherosclerosis in other areas of the body. Hindawi 2019-07-03 /pmc/articles/PMC6636529/ /pubmed/31355040 http://dx.doi.org/10.1155/2019/6156948 Text en Copyright © 2019 Lauren E. Watchmaker et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Watchmaker, Lauren E.
Watchmaker, Jennifer M.
Watchmaker, Greg P.
Arterial Calcification on Wrist Radiographs May Suggest Need for Evaluation of Atherosclerosis in Asymptomatic Individuals
title Arterial Calcification on Wrist Radiographs May Suggest Need for Evaluation of Atherosclerosis in Asymptomatic Individuals
title_full Arterial Calcification on Wrist Radiographs May Suggest Need for Evaluation of Atherosclerosis in Asymptomatic Individuals
title_fullStr Arterial Calcification on Wrist Radiographs May Suggest Need for Evaluation of Atherosclerosis in Asymptomatic Individuals
title_full_unstemmed Arterial Calcification on Wrist Radiographs May Suggest Need for Evaluation of Atherosclerosis in Asymptomatic Individuals
title_short Arterial Calcification on Wrist Radiographs May Suggest Need for Evaluation of Atherosclerosis in Asymptomatic Individuals
title_sort arterial calcification on wrist radiographs may suggest need for evaluation of atherosclerosis in asymptomatic individuals
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636529/
https://www.ncbi.nlm.nih.gov/pubmed/31355040
http://dx.doi.org/10.1155/2019/6156948
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