Association of high cardiovascular risk and diabetes with ca
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This study suggests that increased cardiovascular risk scores were associated with calcified carotid artery atheromas (CCAAs) on panoramic radiographs (PRs).

The aim was to evaluate whether estimates of the risk of future cardiovascular events and death and established or unknown diabetes are significantly associated with calcified carotid artery atheromas (CCAAs) on panoramic radiographs (PRs). The main focus was on men and women without previous myocardial infarction (MI).

The PAROKRANK (Periodontitis and its Relation to Coronary Artery Disease) study included cases with a first MI and matched controls. In this sub-study, 738 cases and 744 controls with available PRs were assessed for CCAA. Cardiovascular risk estimates according to the Framingham Risk Score (FRS) and Systematic COronary Risk Evaluation (SCORE) as well as established and previously unknown diabetes were determined.

CCAA was detected on PRs in 206 controls and 251 cases.

- FRS was significantly associated with CCAA among controls and cases.

- SCORE was associated with CCAA among controls but not cases.

- Among men, FRS and SCORE were associated with CCAA in both controls and cases.

- Diabetes was not significantly associated with CCAA after adjustments.

In particular, elevated cardiovascular risk scores were associated with CCAA on PRs among controls. Diabetes was not independently associated with CCAA, possibly due to selection bias.

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology
Source: https://doi.org/10.1016/j.oooo.2021.06.006
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