Abstract

This study designed to define the role of computed tomography coronary angiography (CTA) in the diagnosis of patients with chest pain and suspected to have coronary artery disease (CAD) by measuring the calcium scoring in the coronary arteries (CAC) in patient with known diabetes and correlate the results with the (CTA) findings and other related variables. A descriptive analytical study for 84 patient with 36 diabetes and 48 patient with diabetes and hypertension examined using multi-detector computed tomography scanner MDCT64-Slice scanner (0.625 mm slices): 64 slice 0.625 mm collimation, table feed 10 mm/rotation, effective tube current 685 mAs at 120 kV. Pitch = 10/40 mm, collimation = 0.25 Average scan time = 5s, to scan the patient with coronary problems, detector array, fan beam shape, CT monitor for controlling scanning and processing. Cardiac trigger monitor with electrode leads (3000 TOSHEIBA) to monitor the heart rate, contrast injector (Medrao Toshiba-2ways) for flush contrast media to patient and VITREA SYSTYM (TOSHIBA) for diagnosis images and reconstruction and volume rendered purposes.(CAC) offers identifying the patients intended to have cardiac events, diagnosis of coronary arteries lesions and characterizing the plaque pattern .It is believable that measurements of calcium score will provide an acknowledged analytical radiological tool for the diagnoses of (CAD).

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