冠状动脉分数百分比:来自土耳其单一中心的数据
Gülsüm Kılıçkap1, Halil Tekdemir1, Kübra Bahadır1
1Ankara Bilkent City Hospital, Clinic of Radiology, Ankara, Turkey
Diagnostic and interventional radiology (Ankara, Turkey)
|June 15, 2023
概括
冠状动脉 (CAC) 评分百分点现在可用于不同年龄段的男性和女性,有助于预防性药物决定. 不等于零的CAC分数表明55岁以下的女性和45岁以下的男性的高风险.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 医疗成像医学成像
背景情况:
- 冠状动脉 (CAC) 评分对于指导边缘心血管风险患者的预防药物治疗至关重要.
- 虽然使用绝对CAC得分,百分点得分提供更大的实用性,特别是对于年轻人和女性.
- 建立特定于年龄和性别的CAC分数百分位数对于准确的风险分层至关重要.
研究的目的:
- 为了呈现综合的冠状动脉 (CAC) 评分百分比,按年龄类别分层分层分层,无论是女性还是男性.
- 为临床医生提供一个有价值的资源,帮助他们做出有关预防疗法的明智决策.
主要方法:
- 这是一项对在2021年1月至2022年3月期间接受CAC评分的3941名参与者的回顾性分析.
- 排除以前经过冠状动脉复血管化手术的患者.
- 对特定年龄和性别的CAC分数百分位数进行表化,并使用局部加权散射图平滑回归创建百分位数图.
主要成果:
- 该研究包括57.09%的男性和42.91%的女性,平均年龄为52.20±11.11岁.
- 在60.42%的参与者中发现了零CAC得分,特别是女性 (68.60%) 比男性 (54.27%) 更高.
- 在使用第75百分位数作为值时,非零的CAC得分在55岁以下的女性和45岁以下的男性中确定了高风险.
结论:
- 这项研究为不同年龄组的男性和女性提供了基本的CAC分数百分比,支持预防性治疗的临床决策.
- 一项实用指南表明,非零的CAC分数意味着55岁以下的女性和45岁以下的男性的高风险.
- 这些百分位数据增强了CAC评分在个性化心血管风险评估中的实用性.
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