在"阴性"CT冠状动脉血管学研究中的心脏外发现频率
Z-U-A Mumtaz1, S R Desai2, S P G Padley3
1Faculty of Medicine, Imperial College School of Medicine, London, UK.
胸部疼痛但没有冠状动脉疾病的患者常见于心脏外发现. 在计算机断层扫描冠状动脉扫描 (CTCA) 上评估这些偶然发现可以帮助确定症状的替代原因.
科学领域:
- 放射学 放射学是一门学科.
- 心脏病学 心脏病学
- 胸部成像 胸部成像
背景情况:
- 计算机断层扫描冠状动脉扫描 (CTCA) 主要用于诊断冠状动脉疾病 (CAD).
- 患有胸痛的患者经常接受CTCA,但可能偶尔检测到心脏外发现.
- 在没有CAD的患者中,这些心脏外发现的临床意义尚未完全理解.
研究的目的:
- 确定CTCA上心脏外发现的流行率和特征.
- 评估这些发现的潜力,以解释没有CAD的患者的胸痛.
- 评估这些偶然发现的报告和后续行动.
主要方法:
- 对患者胸痛和疑似CAD的CTCA研究的回顾性审查.
- 由两位经验丰富的胸部放射科医生进行共识审查,以识别和评分心脏外发现.
- 分析患者记录以进行初始报告和随后对发现的后续行动.
主要成果:
- 61%的患者 (110/180) 存在心脏外发现,平均每患者1.9个发现.
- 这些发现在65岁或以上的患者中更为常见.
- 22%的患者至少有一个心脏外发现可能导致胸痛,最常见的是退行性磁盘疾病和间隙.
结论:
- 在没有CAD的患者中,常常在CTCA上发现心脏外发现.
- 这些偶然的发现可能是胸痛的来源,需要进行彻底的评估.
- 应利用广视野重建来检测胸痛的所有潜在心脏外原因.
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