乳腺动脉化与随后的冠状动脉化之间的关联:系统性审查
Stephanie Nagy1, Christopher Rodriguez1, Adriana Gurreri1
1Rheumatology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.
Cureus
|October 30, 2025
概括
乳腺动脉化 (BAC),在乳房影像中发现,与冠状动脉 (CAC) 和心血管疾病风险增加有关. BAC可能有助于识别需要进一步心脏查的患者.
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:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 冠状动脉 (CAC) 评分可以检测亚临床动脉样硬化.
- 乳腺动脉化 (BAC),在乳房影像上看到,正在成为心血管疾病风险指标.
研究的目的:
- 系统地审查乳腺动脉化 (BAC) 和冠状动脉 (CAC) 之间的联系.
- 评估BAC作为女性亚临床动脉样硬化潜在的非侵入性标志物.
主要方法:
- 一项对14项涉及5249名接受BAC和CAC评估的女性研究的系统审查.
- 分析聚合数据以确定BAC的相关性和诊断性能,以检测CAC.
主要成果:
- 在BAC和CAC之间发现了一致的正相关性.
- 患有BAC和CAC的女性年龄较大,冠状动脉疾病更严重.
- 对于检测CAC的BAC的聚合灵敏度,特异性,PPV和NPV分别为38.9%,88%,73%和57.2%.
结论:
- BAC是支持风险患者中CAC存在的有用辅助.
- 由于其可访问性和高特异性,BAC对女性早期心血管疾病检测具有前景.
- 为了指导临床实践,需要对BAC进行标准化报告准则.
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