Carotid artery intima-media thickness, but not coronary artery calcium, predicts coronary vascular resistance in patients evaluated for coronary artery disease
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AQUI
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We evaluated 120 patients (mean age 56 ± 9 years, 58 men) without a documented history of CAD in whom obstructive CAD was excluded by means of invasive coronary angiography (ICA) or computed tomography coronary angiography (CTCA). All patients underwent C-IMT measurements, CAC scoring, and vasodilator stress 15O-water PET/CT, during which the coronary flow reserve (CFR) and minimal CVR were analyzed.
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Multivariable regression analysis revealed that C-IMT (p = 0.03), male gender (p < 0.001), age (p < 0.01), and BMI (p < 0.01) were independently associated with minimal CVR.
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C-IMT, but not CAC score, independently predicts minimal CVR in patients with multiple cardiovascular risk factors and suspected of CAD.
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