Excessive calcium-phosphorus product (Ca-P product) in individuals with chronic kidney disease (CKD) is associated with coronary artery calcification and coronary artery disease (CAD), but the relationship between Ca-P product and CAD in non-CKD populations has rarely been reported. Therefore, we designed a cross-sectional study to investigate the role of Ca-P product in total coronary artery occlusion (TCAO) in a non-CKD population.
We reviewed 983 individuals who underwent coronary angiography (CAG) at Guangyuan Central Hospital from February 2018 to January 2020. Ca-P product (mg/dL) was calculated as Ca (mmol/L) × 4 × P (mmol/L) × 3.1, and was analyzed as a continuous and tertiary variable. TCAO was defined as complete occlusion of any coronary artery by CAG (TIMI flow grade 0). Statistical analysis was performed using univariate and multivariate logistic regression models and restricted cubic splines.
Univariate logistic regression analysis showed a statistically significant association between Ca-P product and TCAO (OR, 0.97; 95% CI, 0.95-0.99; P<0.001). After stepwise adjustment for covariates, the risk of TCAO was reduced by 40% in the high versus low Ca-P group (OR, 0.6; 95% CI, 0.38-0.95; P=0.031), and the risk of TCAO was predicted to decrease by 4% (OR, 0.96; 95% CI, 0.94-0.99; P=0.006) for each unit increase in Ca-P product. Restricted cubic splines showed a nonlinear relationship between Ca-P product and TCAO, with a significant decrease in the risk of TCAO after reaching 27.46 (nonlinear P=0.047).
In non-CKD populations, a higher Ca-P product (≥27.46 mg/dL) may help avoid TCAO.

Copyright © 2023. Published by Elsevier Inc.