March 2018 Vol. 6 No.3

Search Pubmed for articles by:
 

Original Research Article

Prevalence of carotid artery calcification on the panoramic radiographs of turkish hemodialysis patients and its relationship with traditional atherogenic risk factors: a research article

Sevcihan Günen Yilmaz¹, Fatih Yilmaz², İbrahim Şevki Bayrakdar³ and Büşra Tanrikol⁴

¹Ph.D, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Akdeniz University, Antalya, Turkey
²Ph.D, Department of Nephrology, Zonguldak Atatürk State Hospital, Zonguldak, Turkey
³Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Eskisehir Osmangazi University, Eskisehir, Turkey
⁴Ph.D, Department of Oral and Maxillofacial Radiology, Göztepe Oral and Dental Health Center, İstanbul, Turkey

*Corresponding Author’s E-mail: dentistsevcihan@hotmail.com
Phone: +90 507234 93 45
Fax: + 90 242 310 69 67

Accepted March 24, 2018

Abstract

The aim of this retrospective study is to determine the presence of carotid artery calcifications (CAC) detected on panoramic radiographs in hemodialysis patients and relationship between and traditional risk factors evaluated. This study was designed as a retrospective study evaluating totally 143 patients (92 hemodialysis, 51 controlsubjects) who presented to, the department of Oral and Maxillofacial Radiology for routine examination. The subjects were assessed for the presence of traditional risk factors and the possible association to CAC. Statistical analysis was done using Chi-square test. P<0.05 was considered to be statistically significant. Carotid artery calcification (CAC) was observed in 28 (30.4%) of 92 patients in hemodialysis group and 6 (11.8%) of 51 patients in the control group (P=0.012). Diabetes, hypertension, hyperlipidemia, age, parathyroidectomy, and longer hemodialysis duration were significantly (P<0.05) related to the presence of CAC while gender, and smoking were not significantly (P>0.05) related to CAC. No statistically significant differences were observed between males and females (P=0.07). The prevalence of CAC is higher in hemodialysis patients compared to general population. The increased age, type 2 diabetes, hypertension, hyperlipidemia, and parathyroidectomy are associated with a high CAC prevalence.

Keywords: Carotid artery calcification, hemodialysis, panoramic radiography, traditional risk factors