الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
patients are usually diagnosed with CAD when they develop symptoms, display an abnormal response to stress testing or undergo coronary angiographies. Unfortunately, by that time, the atherosclerotic process is relatively advanced and many patients already have had myocardial infarction or have activity-limiting angina. In many ways, the opportunity for prevention may have been missed or, in retrospect, delayed, in these patients.Therefore, early detection of CAD could impact this scenario significantly by accelerating prevention efforts and positively impacting patient lifestyle choices, before the development of clinical
manifestations of heart disease.
The aim of the study was to find out the relationship between
calcium scoring and coronary atherosclerosis with assessment of
influence of diabetes on extent of atherosclerosis as detected by 64
multislice CT angiography.
The study included 60 ischemic patients divided into two
groups, group I include 30 ischemic diabetic patients at the age 40 –
66 referred for MSCT for diagnosis of coronary artery disease. Group
II include another 30 ischemic non-diabetic age and sex matched
patients referred for diagnostic MSCT as a control group.
Patients with AF or irregular rhythm, tachyarrhythmia, Severe
congestive heart failure, chronic Obstructive pulmonary disease
(COPD), heart Block, hemodynamic instability, allergy to contrast
material, unable to hold breath, any concomitant valvular or
congenital heart disease,terminal renal or hepatic impairment were
excluded from the study.