320排CT对急性冠脉综合征与稳定型心绞痛患者冠脉斑块对照分析

被引：6

作者：

王飞 ^{[1
]}

董丹丹 ^{[2
]}

孙夕林 ^{[2
]}

王丹 ^{[2
]}

张同 ^{[2
]}

申宝忠 ^{[2
]}

机构：

[1] 哈尔滨医科大学附属第三医院影像中心

[2] 哈尔滨医科大学附属第四医院影像中心

来源：

哈尔滨医科大学学报 | 2013年 / 47卷 / 06期

关键词：

冠状动脉斑块; 急性冠脉综合征; 稳定型心绞痛; 320排CT;

D O I：

暂无

中图分类号：

R541.4 [冠状动脉（粥样）硬化性心脏病（冠心病）];

学科分类号：

摘要：

目的对比分析急性冠脉综合征(acute coronary syndrome,ACS)与稳定型心绞痛(stable angina,SA)患者冠脉斑块在320排CT心脏血管造影(320-CTA)图像上特征,为临床早期识别ACS提供依据。方法回顾性分析143例冠心病患者数据,其中ACS84例,SA59例,分析冠脉斑块在320CTA图像上表现。结果 ACS患者冠脉混合斑块发生率、受累冠脉节段总数及在冠脉主要分支上的分布、多节段受累患者数、点状钙化斑块的发生率及受累冠脉正性重构发生率方面显著高于SA患者。结论 ACS患者冠脉斑块负荷更大,更多侵犯冠脉三大分支,斑块更多表现为点状钙化,受累冠脉更多发生正性重构。

引用

页码：557 / 560

页数：4

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