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Application value of coronary CTA in plaque property assessment of acute coronary syndrome |
SONG Yan |
Department of Radiology,People′s Hospital of Diaobingshan City,Liaoning Province,Diaobingshan 112700,China |
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Abstract Objective To explore the value of coronary CT angiography(CTA)in plaque property assessment of patients with acute coronary syndrome(ACS).Methods A total of 60 patients with ACS who were admitted to the Department of Radiology in People′s Hospital of Diaobingshan City from August 2016 to August 2019 were selected as the experimental group,and 60 patients with stable angina pectoris received at the same period were selected as the control group.The vascular volume,degree of lumen stenosis,reconstruction index(RI),total plaque volume,non-calcified plaque volume,calcified plaque volume,non-calcified plaque load,calcified plaque load,and CT value of minimum plaque density were compared between the two groups.Results The RI and non-calcified plaque loads in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in vascular volume,degree of lumen stenosis,total plaque volume,non-calcified plaque volume,calcified plaque volume,calcified plaque load between the two groups(P>0.05).The CT value of minimum plaque density in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion CTA can distinguish ACS from stable angina pectoris by evaluating the nature of plaque,and is suitable for clinical application.
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Received: 08 June 2020
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[11] |
晏沐阳,李建华,任岩东,等.冠状动脉粥样硬化斑块进展或消退的评估方法[J].中华老年心脑血管病杂志,2013,15(10):1098-1101.
|
[12] |
刘如,袁晋青.稳定性冠心病治疗策略进展[J].中国介入心脏病学杂志,2015,23(3):169-172.
|
[13] |
翟学君.放射CT 血管造影检测冠状动脉钙化斑块重建厚度探讨[J].山东医药,2014,54(14):14.
|
[14] |
王艳阳,唐小斌,寇镭.无创影像学检查评估颈动脉粥样硬化斑块稳定性的对比性研究[J].中华血管外科杂志,2017,2(4):209-217.
|
[15] |
王嵩.冠状动脉CT 血管成像对急性冠脉综合征患者斑块性质的诊断价值[J].实用临床医药杂志,2019,23(17):42-44.
|
[1] |
王小红,亓波,孙世元.冠状动脉CT 对疑似冠心病患者长期心血管事件预测价值的研究[J].中国实验诊断学,2013,17(9):1627-1630.
|
[2] |
袁越,陈红方,刘峰.冠心病病人住院期间不良心脏事件影响因素研究[J].护理研究,2013,27(5):428-430.
|
[3] |
盛宇峰,钱雪松,胡翼江.CT 冠状动脉造影成像在疑似冠心病诊断筛选中的应用价值[J].江苏医药,2013,39(23):2860-2862.
|
[4] |
黄涛,曾恋,陈明骥,等.冠心病危险因素的分析[J].中国当代医药,2011,18(18):41-42.
|
[5] |
王璇,贾海波.冠心病患者粥样硬化斑块特征及其与血清PAF、PDGF、LP-PLA2 的关系[J].岭南心血管病杂志,2019,25(1):31-34.
|
[6] |
彭春丽,梁东辉,黄曾艳,等.冠心病患者血瘀证积分联合超敏C 反应蛋白对动脉粥样硬化斑块性质的初步评价[J].广东医学,2018,39(1):143-147.
|
[7] |
郝炎,陈明.动脉粥样硬化斑块不稳定性机制的研究进展[J].实用医学杂志,2011,27(4):708-710.
|
[8] |
韩莎莎,李俊峡.冠状动脉临界病变的评价策略[J].中国循证心血管医学杂志,2012,4(2):166-167.
|
[9] |
杨帆.冠状动脉粥样斑块与动脉狭窄程度导致急性心肌梗死相关研究进展[J].医药前沿,2013,(5):46-47.
|
[10] |
孙凯,孙强.冠脉CT 血管造影诊断冠脉临界病变血管狭窄的临床价值[J].当代医学,2018,24(1):70-72.
|
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