武警医学2012，Vol.23Issue(8)：658-661,4.
造影对非ST段抬高心肌梗死患者冠脉血管病变程度的诊断定位及危险程度分析
Analysis of the relationship between coronary lesions based on multidetector CT coronary angiography and risk factors of NSTEMI patients
贺延 1吕俊刚 1杨春梅 2王松涛 3徐海丽 1王立军4
作者信息
- 1. 100027,武警北京总队医院内三科
- 2. 130056,长春,武警吉林总队医院CT
- 3. 100027,武警北京总队医院医务处
- 4. 100027,武警北京总队医院放射科
- 折叠
摘要
Abstract
Objective To explore the effect of 64 - slice multidetector CT coronary angiography ( CCTA) on the diagnosis of the extent of coronary lesions and risk evaluation in patients with Non - ST elevation myocardial infarction ( NSTEMI) by comparing the relative risk factors of NSTEMI patients which include high troponin I (HTnl) , high low density lipoprotein - cholesterol (HLDL - C) , high uric acid (HUA) , high glucose (HGlu) , high blood pressure (HBP) , abnormal electrocardiogram (ECG) , symptoms of angina pecto-ris. Methods According to the result of CCTA, 122 patients with NSTEMI were divided into three groups; healthy control group, group A (gentle coronary artery lesions group) , group B and C (moderate and severe coronary artery lesions group). Venous blood samples were taken to examine Tnl, LDL - C, UA, and Glu before standard treatment. The number of risk factors was compared between the three groups. Results Risk factors of HTnl, HLDL - C, HUA, HGlu, HBP in group B and C far outnumbered those of healthy control group and group A (P <0.05 or P <0.01). No significant difference in abnormal ECG and angina pectoris symptoms was observed between healthy control group and the other groups. Conclusion For those patients with NSTEMI who have either abnormal ECG or angina pectoris symptoms, CCTA should be used. CCTA is not only a noninvasive,simple and reliable technique, but also one of the most important methods to justify the extent of coronary lesions and to evaluate the risk of patients with NSTEMI. CCTA can help predict the risk of patients with NSTEMI early, reduce the rate of misdiagnosis and mortality and improve the cure rate.关键词
CT造影/冠脉病变/非ST段抬高心肌梗死/危险因素Key words
CT coronary angiography/ coronary lesions/NSTEMI/risk factors分类
医药卫生引用本文复制引用
贺延,吕俊刚,杨春梅,王松涛,徐海丽,王立军..造影对非ST段抬高心肌梗死患者冠脉血管病变程度的诊断定位及危险程度分析[J].武警医学,2012,23(8):658-661,4.
