冠状动脉CT血管成像诊断冠心病的临床价值

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Abstract

Objective To explore the clinical value of coronary heart disease diagnosed by coronary CT angiography.Methods A total of 56 patients suspected with coronary heart disease who underwent coronary artery angiography and coronary CT angiography in Guangdong Provincial People′s Hospital Zhuhai Hospital (Zhuhai Golden Bay Central Hospital) from April 2018 to November 2019 were selected as the research subjects.The positive results, the diagnosis of coronary stenosis and the results of the two methods were compared, and the sensitivity, specificity, positive predictive value and negative predictive value were observed.Results The tested positive of coronary CT angiography were 105 counts, tested positive of coronary artery angiography were 95 counts, anastomosis positive rate was 87.3% (83/95), two grade stricture coincidence rate of coronary CT angiography was 55.6% (5/9), three grade stricture coincidence rate was 88.9% (32/36), four grade stricture coincidence rate was 91.3% (42/46), five grade stricture coincidence rate was 100.0% (4/4).Coronary angiography result was 100% standard, sensitivity, specificity, positive predictive value of two inspection modes were compared, the differences were statistically significant (P＜0.05).There was no significant difference in negative predictive value of two inspection modes (P＞0.05).Conclusion The diagnosis coronary heart disease by coronary artery angiography and coronary CT angiography have no obviously difference, repeatability is good, which could be important method of coronary heart disease screening, it has certain clinical value.

Key words： Coronary artery angiography Coronary CT angiography Coronary heart disease Positive Stricture

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	Articles by authors
	HUANG Ze-feng
	LIU Jin-feng
	WANG Wei-gang
	LIU Xiao-jian
	YANG Xing

Cite this article:

HUANG Ze-feng,LIU Jin-feng,WANG Wei-gang, et al.

Clinical value of coronary heart disease diagnosed by coronary CT angiography

[J]. 中国当代医药, 2021, 28(11): 162-164转168.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I11/162

[1]	李玲玲，王庆义.无症状心肌缺血患者动态心电图与冠状动脉CT 血管造影的对比分析[J].中国CT 和MRI 杂志，2019，17（2）：18-20，37.
[2]	Choi G，Lee JM，Kim HJ，et al.Coronary artery axial plaque stress and its relationship with lesion geometey： application of computational fluit dynamics to coronary CT angiography[J].JACC Cardiovasc Imaging，2015，8（10）：1156-1166.
[3]	邱萍，程守全，谢冰，等.经导管介入封堵冠状动脉瘘中期随访——冠状动脉CT 血管造影的诊断价值[J].中国介入心脏病学杂志，2019，27（4）：205-210.
[4]	Papafaklis ML，Takahashi S，Antoniadis AP，et al.Effect of the local hemodynamic environment on the de novo development and progression of eccentric coronay atherosclerosic in humans：insights from PREDICTION[J].Atherosclerosis，2015，240（1）：205-211.
[5]	刘忠啸，谢丽响，徐凯.冠状动脉CTA 中基于瘦体重的对比剂注射方案与基于体重方案的比较[J].中国CT 和MRI杂志，2018，16（3）：46-49.
[6]	Zhao XM，Li R，Chen Y，et al.Hemodynamic analysis of intracranial aneurysms using phase-contrast magnetic resonance imaging and computational fluid dynamics[J].Acta Mech Sin，2017，33（2）：472-483.
[7]	赵雪梅，徼红阳，张晓玮，等.冠状动脉CT 血管造影结合计算流体力学方法评估冠状动脉血流动力学变化的价值[J].实用老年医学，2019，33（3）：245-248，252.
[8]	Abd TT，George RT.Association of coronary plaque burden with fractional flow reserve：should we keep attempting to derive physiology from anatomy[J].Cardiovasc Diagn Ther，2015，5（1）：67-70.
[9]	孙健，赵学媛.冠状动脉CT 血管造影对冠状动脉粥样硬化斑块的分析[J].血管与腔内血管外科杂志，2019，5（2）：174-178.
[10]	肖艳，张炜.CT 冠状动脉造影与超声对成人真性室间隔膜部瘤诊断的对比研究[J].影响诊断与介入放射学杂志，2019，28（4）：247-250.
[11]	林豪，肖波，刘一江，等.双源CT 冠脉成像在冠脉粥样硬化性狭窄诊断中的价值研究[J].现代生物医学进展，2017，17（20）：3969-3972.
[12]	张梅，殷云志，周炜，等.双源CT 冠状动脉造影对冠心病患者冠状动脉狭窄的诊断价值[J].中国CT 和MRI 杂志，2019，17（5）：68-71.
[13]	曹阿丹，郭海燕，武乐乐，等.双源CT 冠状动脉血管造影诊断冠状动脉起源变异临床价值[J].中华实用诊断与治疗杂志，2016，30（5）：467-469.
[14]	陈晓琳，胡越成，李艳妮，等.基于双源CT 与冠状动脉造影对冠状动脉狭窄诊断的对比研究[J].天津医药，2016，44（9）：1150-1154.
[15]	周逸，陈曼华，戴睿，等.斑块钙化对双源CT 冠状动脉造影诊断准确性的影响[J].中国动脉硬化杂志，2017，25（6）：594-598.
[16]	罗焕，高律萍，陈红，等.双源CT 血管造影对脑梗死患者动脉粥样硬化斑块的诊断价值[J].实用心脑肺血管病杂志，2017，25（7）：121-122.
[17]	黄丙军.256 层螺旋CT 前、后置心电门控技术对冠脉成像质量及辐射剂量的影响[J].中国CT 和MRI 杂志，2017，15（7）：72-74.
[18]	赵良桥，卢佳佳，黄汉钦，等.心电图联合冠状动脉CT 血管造影在冠心病诊断及罪犯血管定位中的应用研究[J].中国CT 和MRI 杂志，2019，17（10）：47-49.
[21]	高立，袁旭春，聂伟霞，等.双源CT 与冠状动脉造影对照评价冠状动脉临界病变[J].中国CT 和MRI 杂志，2018，16（3）：53-55.
[22]	李艳芳.2013年欧洲心脏病学会稳定性冠心病及心血管病伴糖尿病指南解读[J].中华老年心脑血管病杂志，2014，16（2）：221-221.
[19]	Lee CS，Seo YH，Yang DJ，et al.Positive vascular remodeling in culprit coronary lesion is associated with plaque composition：an intravascular ultrasound virtual histology study[J].Korean Circ J，2012，42（11）：747-752.
[20]	Kwan AC，Cater G，Vargas J，et al.Beyond coronary stenosis：coronary computed tomographic angiography for the assessment of atherosclerotic plaque burden[J].Curr Cardiovasc lmaging Rep，2013，6（2）：89-101.