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Gender Differences in Types and Frequencies of Coronary Artery Anomalies and Myocardial Bridge in 10,457 Chinese Undergoing 320-Slice Computed Tomography

Received: 8 September 2016    Accepted: 12 October 2016    Published: 28 October 2016
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Abstract

Varied frequencies of coronary artery anomalies (CAAs) and myocardial bridge (MB) exist in previous studies. Race and gender may play a role. The present study aimed to investigate the gender differences in types and frequencies of coronary artery anomalies (CAAs) and myocardial bridge (MB) in Chinese undergoing 320-slice coronary computed tomography. The authors assessed prospectively the records of 10,457 consecutive patients who underwent 320-slice coronary computed tomography for any reason. CAAs were divided into 4 groups: 1) Anomalies of origination; 2) Anomalies of intrinsic coronary arterial anatomy; 3) fistula; 4) Number anomalies. Clinical relevance based classifications of CAAs (Class I-Benign; II-Relevant; III-Severe; IV-Critical) were also presented. Types and frequencies of CAAs and MB were compared between males and females. The overall prevalence of CAAs was 2.60% in our study, involving 0.62% of anomalies of origination, 1.72% of anomalies of intrinsic coronary arterial anatomy, 0.23% of fistula, and 0.04% of number anomalies. Gender differences were not presented in the frequencies of the majority of CAAs (p>0.05). However, males were more likely to have LCX originating from the right sinus of Valsalva when compared with females (0.11% vs. 0.01%, p=0.027). There was no difference of clinical relevance based classifications of CAAs between males and females (p>0.05). The prevalence of MB was 33.15% (3466/10,475) in total. Higher frequency (19.13% vs. 14.0%, p<0.001) and longer average length (16.89±8.58mm vs. 13.71±8.50mm, p<0.001) of MB were observed in males than those in females; while the distribution and the mean depth of MB were similar in males and females (p>0.05). In conclusion, LCX originating from the right sinus of Valsalva and MB with longer average length occurred more frequently in Chinese males than females.

Published in European Journal of Clinical and Biomedical Sciences (Volume 2, Issue 3)
DOI 10.11648/j.ejcbs.20160203.11
Page(s) 14-22
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Computed Tomography Angiography, Coronary Artery Anomaly, Myocardial Bridge, Fistula, Coronary Hypoplasia

References
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    Suhua Li, Xixiang Tang, Yanting Luo, Long Peng, Yunyue Zhao, et al. (2016). Gender Differences in Types and Frequencies of Coronary Artery Anomalies and Myocardial Bridge in 10,457 Chinese Undergoing 320-Slice Computed Tomography. European Journal of Clinical and Biomedical Sciences, 2(3), 14-22. https://doi.org/10.11648/j.ejcbs.20160203.11

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    ACS Style

    Suhua Li; Xixiang Tang; Yanting Luo; Long Peng; Yunyue Zhao, et al. Gender Differences in Types and Frequencies of Coronary Artery Anomalies and Myocardial Bridge in 10,457 Chinese Undergoing 320-Slice Computed Tomography. Eur. J. Clin. Biomed. Sci. 2016, 2(3), 14-22. doi: 10.11648/j.ejcbs.20160203.11

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    AMA Style

    Suhua Li, Xixiang Tang, Yanting Luo, Long Peng, Yunyue Zhao, et al. Gender Differences in Types and Frequencies of Coronary Artery Anomalies and Myocardial Bridge in 10,457 Chinese Undergoing 320-Slice Computed Tomography. Eur J Clin Biomed Sci. 2016;2(3):14-22. doi: 10.11648/j.ejcbs.20160203.11

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  • @article{10.11648/j.ejcbs.20160203.11,
      author = {Suhua Li and Xixiang Tang and Yanting Luo and Long Peng and Yunyue Zhao and Jieming Zhu and Lin Chen and Ruimin Dong and Yanming Chen and Jinlai Liu},
      title = {Gender Differences in Types and Frequencies of Coronary Artery Anomalies and Myocardial Bridge in 10,457 Chinese Undergoing 320-Slice Computed Tomography},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {2},
      number = {3},
      pages = {14-22},
      doi = {10.11648/j.ejcbs.20160203.11},
      url = {https://doi.org/10.11648/j.ejcbs.20160203.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20160203.11},
      abstract = {Varied frequencies of coronary artery anomalies (CAAs) and myocardial bridge (MB) exist in previous studies. Race and gender may play a role. The present study aimed to investigate the gender differences in types and frequencies of coronary artery anomalies (CAAs) and myocardial bridge (MB) in Chinese undergoing 320-slice coronary computed tomography. The authors assessed prospectively the records of 10,457 consecutive patients who underwent 320-slice coronary computed tomography for any reason. CAAs were divided into 4 groups: 1) Anomalies of origination; 2) Anomalies of intrinsic coronary arterial anatomy; 3) fistula; 4) Number anomalies. Clinical relevance based classifications of CAAs (Class I-Benign; II-Relevant; III-Severe; IV-Critical) were also presented. Types and frequencies of CAAs and MB were compared between males and females. The overall prevalence of CAAs was 2.60% in our study, involving 0.62% of anomalies of origination, 1.72% of anomalies of intrinsic coronary arterial anatomy, 0.23% of fistula, and 0.04% of number anomalies. Gender differences were not presented in the frequencies of the majority of CAAs (p>0.05). However, males were more likely to have LCX originating from the right sinus of Valsalva when compared with females (0.11% vs. 0.01%, p=0.027). There was no difference of clinical relevance based classifications of CAAs between males and females (p>0.05). The prevalence of MB was 33.15% (3466/10,475) in total. Higher frequency (19.13% vs. 14.0%, p0.05). In conclusion, LCX originating from the right sinus of Valsalva and MB with longer average length occurred more frequently in Chinese males than females.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Gender Differences in Types and Frequencies of Coronary Artery Anomalies and Myocardial Bridge in 10,457 Chinese Undergoing 320-Slice Computed Tomography
    AU  - Suhua Li
    AU  - Xixiang Tang
    AU  - Yanting Luo
    AU  - Long Peng
    AU  - Yunyue Zhao
    AU  - Jieming Zhu
    AU  - Lin Chen
    AU  - Ruimin Dong
    AU  - Yanming Chen
    AU  - Jinlai Liu
    Y1  - 2016/10/28
    PY  - 2016
    N1  - https://doi.org/10.11648/j.ejcbs.20160203.11
    DO  - 10.11648/j.ejcbs.20160203.11
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
    SP  - 14
    EP  - 22
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20160203.11
    AB  - Varied frequencies of coronary artery anomalies (CAAs) and myocardial bridge (MB) exist in previous studies. Race and gender may play a role. The present study aimed to investigate the gender differences in types and frequencies of coronary artery anomalies (CAAs) and myocardial bridge (MB) in Chinese undergoing 320-slice coronary computed tomography. The authors assessed prospectively the records of 10,457 consecutive patients who underwent 320-slice coronary computed tomography for any reason. CAAs were divided into 4 groups: 1) Anomalies of origination; 2) Anomalies of intrinsic coronary arterial anatomy; 3) fistula; 4) Number anomalies. Clinical relevance based classifications of CAAs (Class I-Benign; II-Relevant; III-Severe; IV-Critical) were also presented. Types and frequencies of CAAs and MB were compared between males and females. The overall prevalence of CAAs was 2.60% in our study, involving 0.62% of anomalies of origination, 1.72% of anomalies of intrinsic coronary arterial anatomy, 0.23% of fistula, and 0.04% of number anomalies. Gender differences were not presented in the frequencies of the majority of CAAs (p>0.05). However, males were more likely to have LCX originating from the right sinus of Valsalva when compared with females (0.11% vs. 0.01%, p=0.027). There was no difference of clinical relevance based classifications of CAAs between males and females (p>0.05). The prevalence of MB was 33.15% (3466/10,475) in total. Higher frequency (19.13% vs. 14.0%, p0.05). In conclusion, LCX originating from the right sinus of Valsalva and MB with longer average length occurred more frequently in Chinese males than females.
    VL  - 2
    IS  - 3
    ER  - 

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Author Information
  • Department of Cardiology, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

  • Advanced Medical Center, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

  • Department of Cardiology, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

  • Department of Cardiology, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

  • Department of Cardiology, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

  • Department of Cardiology, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

  • Department of Cardiology, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

  • Department of Cardiology, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

  • Advanced Medical Center, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

  • Department of Cardiology, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

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