冠心病患者CTA影像学特征及其对MACE的预测价值OACSTPCD
Imaging characteristics of CTA and its predictive value for MACE in patients with coronary heart disease
目的:分析冠心病(CHD)患者电子计算机断层扫描血管造影(CTA)影像学特征及其对主要不良心脏事件(MACE)的预测价值.方法:CHD患者 280例,随访 1年发生MACE51例.分析CHD患者发生MACE的危险因素,绘制受试者工作特征(ROC)曲线分析其预测价值.结果:合并糖尿病、管腔直径狭窄率增加、斑块长度增加,FFRCT降低为CHD患者发生MACE的危险因素(P＜0.05).联合检测多项指标对CHD患者发生MACE的预测价值最高,曲线下面积(AUC)为 0.930.结论:CTA影像学特征及合并糖尿病均与CHD患者发生MACE密切相关,联合检测预测价值较高.
Objective:To analyze the imaging features of computed tomography angiography(CTA)in patients with coronary heart disease(CHD)and its value in predicting major adverse cardiac events(MACE).Methods:A total of 280 CHD patients were followed up for 1 year and 51 cases of MACEAE occurred.Risk factors for MACE in CHD patients were analyzed,and receiver operating characteristic(ROC)curve was plotted to analyze its predictive value.Results:Diabetes mellitus,increased lumen diameter stenosis rate,increased plaque length,and decreased FFRCT were risk factors for MACE in CHD patients(P＜0.05).Combined detection of multiple indicators had the highest predictive value of MACE in CHD patients,and the area under the curve(AUC)was 0.930.Conclusion:The imaging features of CTA and diabetes mellitus are closely related to the occurrence of MACE in CHD patients,and the combined detection has high predictive value.
利成刚;衡步元
安徽省无为市人民医院CT室,安徽无为 238300武警部队安徽省总队医院医学影像科,安徽合肥 230001
冠心病主要不良心脏事件电子计算机断层扫描血管造影影像学特征临床资料预测价值
Coronary heart diseaseMajor adverse cardiac eventsComputed tomography angiographyImaging featuresClinical dataPredictive value
《现代科学仪器》 2024 (4)
66-70,5
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