通过电子光束计算机断层扫描识别患有第一个未报告的急性心肌梗塞风险增加的患者
P Raggi1, T Q Callister, B Cooil
1EBT Research Foundation and Vanderbilt University, Nashville, TN 37075, USA. praggi@attglobal.net
Circulation
|March 1, 2000
概括
冠状动脉分数 (CS) 与冠状动脉疾病的严重程度有关. 然而,CS百分位比绝对得分更有效地识别心脏事件风险的个体.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 预防医学 预防医学
背景情况:
- 绝对冠状动脉分数 (CS) 和冠状动脉疾病严重程度之间存在明显的关系.
- 然而,硬冠状动脉事件可以发生在所有的CS范围,仅在绝对得分上就有局限性.
研究的目的:
- 为了评估冠状动脉分数 (CS) 在冠状动脉事件风险分层个体中的有效性.
- 为了比较绝对CS与CS百分位数对硬冠状动脉事件的预测值.
主要方法:
- 使用电子束CT (EBCT) 成像进行了两次分析.
- 组A:172名患者在60天内进行心肌梗塞的成像.
- 组B:632名患者通过EBCT进行查,对急性心肌梗塞或心脏死亡进行平均32个月的随访.
主要成果:
- 大多数患有急性冠状动脉事件的患者在冠状动脉中存在.
- 虽然较高的绝对CS与较高的事件率相关,但大多数事件发生在75百分点以上的CS患者中.
- 轻度,中度和广泛的绝对CS在经历事件的患者中同样分布.
结论:
- 冠状动脉在患有急性冠状动脉事件的患者中普遍存在.
- CS百分位是风险分层的更有效的选工具,而不是绝对的CS.
- 高的CS百分值可以识别出患冠状动脉事件风险较高的个体.
相关概念视频
Imaging Studies for Cardiovascular System I:Echocardiography
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Imaging Studies for Cardiovascular System III: X-Ray
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Imaging Studies for Cardiovascular System V: CT
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
Acute Coronary Syndrome III: Diagnostic Studies
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...


