计算机断层扫描冠状动脉造影在糖尿病患者中的作用是什么？

What is the role of computed tomographic coronary angiography in diabetic patients?

作者信息

Bordier L, Garcia C, Goasdoué P, Mayaudon H, Dupuy O, Guiraudet O, Bauduceau B

机构信息

Service d'endocrinologie, hôpital d'Instruction-des-Armées-Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.

出版信息

Diabetes Metab. 2008 Feb;34(1):26-32. doi: 10.1016/j.diabet.2007.08.005. Epub 2008 Jan 14.

DOI:10.1016/j.diabet.2007.08.005

PMID:18249023

Abstract

UNLABELLED

All diabetes specialists are aware of the frequency and severity of coronary disease in diabetics. Non-invasive diagnostic tests perform well, but they could be better.

AIM

To assess the role of computed tomographic coronary angiography in diabetics. New cardiac imaging techniques such as CT coronary angiography are promising tools for the selection of patients for conventional X-ray coronary angiography, which remains the key for diagnosis and angioplasty. The limitations of CT coronary angiography, even using the most advanced machines with a 64-slice capacity, are its resolution, the need for an iodine contrast agent and the cumulative radiation from repeated examinations.

CONCLUSION

CT coronary angiography appears to have great potential for patients at risk where non-invasive tests cannot absolutely exclude coronary disease and for the follow-up of coronary bypass surgery.

摘要

未标注

所有糖尿病专家都清楚糖尿病患者冠心病的发病频率和严重程度。非侵入性诊断测试效果良好，但仍有提升空间。

目的

评估计算机断层扫描冠状动脉造影术在糖尿病患者中的作用。诸如CT冠状动脉造影术等新型心脏成像技术是用于选择适合传统X线冠状动脉造影术患者的有前景的工具，而传统X线冠状动脉造影术仍是诊断和血管成形术的关键。即使使用具有64层扫描能力的最先进机器，CT冠状动脉造影术的局限性在于其分辨率、对碘造影剂的需求以及重复检查产生的累积辐射。