Aghazadehsanai Nona, Chang Tina I, Garrett Neal R, Friedlander Arthur H
Oral and Maxillofacial Surgery Research Fellow, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Director of the Research Fellowship and Inpatient Oral and Maxillofacial Surgery, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA; Instructor of Oral and Maxillofacial Surgery, School of Dentistry, University of California, Los Angeles, CA, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 May;123(5):621-625. doi: 10.1016/j.oooo.2017.01.011. Epub 2017 Feb 6.
Health care disparities, often of an obscure nature, result in African American women (AAw) having enhanced risk of adverse cardiovascular events. Therefore, we sought to determine the prevalence of calcified carotid artery atheromas (CCAA), a validated risk indicator of these events, on their digital panoramic images.
Comprehensive electronic medical records and digital panoramic images of self-identified AAw aged ≥45 years treated between 2007 and 2014 were retrieved from a Veterans Affairs Dental Service. Images were reviewed for CCAA in the cervical bifurcation region, and medical records were reviewed for atherogenic risk factors: hypertension, diabetes, and dyslipidemia.
The study sample of 171 AAw (mean age 58.2 ± 8.0 years) evidenced a 24% CCAA positive prevalence rate. In comparison with the CCAA negative group, those with atheromas were significantly older (61.4 ± 10.1 vs. 57.2 ± 7.0), diabetic, and dyslipidemic. Also observed among the full study sample was significant concordant increase of CCAA prevalence with age. Among those who were CCAA positive, there was a significant increased prevalence of dyslipidemia with age.
Panoramic images of older AAw frequently revealed carotid atheromas, a risk indicator of generalized atherosclerosis and future adverse cardiovascular events.
医疗保健差异往往性质不明，导致非裔美国女性（AAw）发生不良心血管事件的风险增加。因此，我们试图通过她们的数字化全景图像来确定钙化颈动脉粥样硬化（CCAA）的患病率，CCAA是这些事件的有效风险指标。
从退伍军人事务牙科服务中心检索2007年至2014年期间接受治疗的年龄≥45岁的自我认定AAw的综合电子病历和数字化全景图像。对颈部分叉区域的CCAA进行图像检查，并对病历进行动脉粥样硬化危险因素（高血压、糖尿病和血脂异常）检查。
171名AAw的研究样本（平均年龄58.2±8.0岁）显示CCAA阳性患病率为24%。与CCAA阴性组相比，患有粥样硬化的患者年龄明显更大（61.4±10.1岁对57.2±7.0岁），患有糖尿病和血脂异常。在整个研究样本中还观察到CCAA患病率随年龄显著一致增加。在CCAA阳性者中，血脂异常患病率随年龄显著增加。
老年AAw的全景图像经常显示颈动脉粥样硬化，这是全身动脉粥样硬化和未来不良心血管事件的风险指标。
