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Updated: May 19, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Increased leucocyte count could predict coronary artery calcification in patients free of clinically apparent
Levent Korkmaz1, Selim Kul, Ayça Ata Korkmaz
1Department of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Insights
Elevated leucocyte count is linked to coronary artery calcification (CAC) and may indicate subclinical atherosclerosis in individuals without known heart disease. This finding highlights inflammation
Area of Science:
- Cardiovascular Medicine
- Inflammation Research
- Diagnostic Biomarkers
Background:
- Inflammation is implicated in atherosclerosis development.
- The role of inflammation in coronary artery calcification (CAC) is under investigation.
- Subclinical atherosclerosis detection in asymptomatic individuals is crucial.
Purpose of the Study:
- To investigate the relationship between leucocyte count and CAC.
- To determine if elevated leucocyte count predicts subclinical atherosclerosis.
- To assess leucocyte count as a potential biomarker for early cardiovascular disease detection.
Main Methods:
- Study included 284 consecutive patients without established cardiovascular disease.
- Coronary artery calcification (CAC) assessed using cardiac computed tomography.
- Leucocyte count measured via routine blood analysis.
Main Results:
- Patients with CAC exhibited significantly higher leucocyte counts (7.87±1.85) than those without (6.01±1.84; p<0.001).
- Leucocyte count (OR: 1.7, 95% CI: 1.3-2.1), smoking, and age were independent predictors of CAC.
- A strong positive correlation found between CAC and leucocyte count (r=0.57, p<0.001).
Conclusions:
- Leucocytes play a significant role in the progression of coronary artery calcification.
- Leucocyte count can aid in detecting subclinical atherosclerosis in asymptomatic individuals.
- This study supports leucocyte count as a valuable marker for early cardiovascular risk assessment.
Objectives:
Several studies have demonstrated that inflammation plays a major role in the development of atherosclerosis and that the inflammatory process might also be involved in coronary artery calcification (CAC). The main purpose of this study was to investigate the relation between leucocyte count and CAC and to determine whether a higher leucocyte count could indicate subclinical atherosclerosis in patients without overt cardiovascular disease.
Study Design:
A total of 284 consecutive patients (156 men, 128 women) without established cardiovascular disease were enrolled. CAC was measured using cardiac computed tomography. Leucocyte count was measured via routine blood examination.
Results:
Patients with CAC had higher leucocyte counts compared to those without calcification (7.87±1.85 vs. 6.01±1.84; p<0.001). Logistic regression analysis identified the following as independent predictors of CAC: leucocyte count (odds ratio [OR]: 1.7, 95% confidence interval [CI]: 1.3-2.1), smoking (OR: 2.4, 95% CI: 1.2-4.6) and age (OR: 1.2, 95% CI: 1.1-2.3). There was also a significant correlation between CAC and leucocyte count (r=0.57, p<0.001).
Conclusion:
We demonstrated that leucocytes may play an important role in the evolution of CAC and may be used in the detection of subclinical atherosclerosis in asymptomatic subjects.
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