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[糖尿病患者冠状动脉成像的现状与展望]

[Current status and perspectives of coronary imaging for patients with diabetes mellitus].

作者信息

Hashimoto Genta, Hiro Takafumi, Matsuzaki Masunori

机构信息

Division of Cardiology, Department of Medical Bioregulation, Yamaguchi University Graduate School of Medicine.

出版信息

Nihon Rinsho. 2006 Nov;64(11):2052-61.

PMID:17087296
Abstract

Diabetes mellitus (DM) is an independent and distinct risk factor of ischemic heart disease. Therefore, early identification and management of coronary atherosclerosis for patients with DM is being desired. For the purpose of visualizing coronary atherosclerosis, various imaging modalities have been proposed especially to identify an unstable plaque that has a thin fibrous cap and a large lipid core. These modalities include intravascular ultrasound, coronary angioscopy, intracoronary thermography, optical coherence tomography, multi-slice CT, MRI, and so on. The development of these modalities are now pushing all cardiologists to get interested in a new field called as "plaque imaging".

摘要

糖尿病(DM)是缺血性心脏病独立且独特的危险因素。因此,人们期望对糖尿病患者的冠状动脉粥样硬化进行早期识别和管理。为了可视化冠状动脉粥样硬化,已经提出了各种成像方式,特别是用于识别具有薄纤维帽和大脂质核心的不稳定斑块。这些方式包括血管内超声、冠状动脉血管镜检查、冠状动脉内热成像、光学相干断层扫描、多层CT、MRI等。这些成像方式的发展正促使所有心脏病专家对一个名为“斑块成像”的新领域产生兴趣。

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