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晚期冠状动脉疾病患者的劳力性心绞痛。冠状动脉造影、血管内超声和心脏CT所起的作用：病例报告。

Effort angina in a patient with advanced coronary artery disease. Role played by coronary angiography, Ivus and cardiac CT: case report.

作者信息

Zardi Domenico M, Zardi Enrico M, Berni Andrea, Nannini Cristiana, Pace Biagio Andrea, Santucci Stefano, Volpe Massimo

机构信息

Division of Cardiology, II Faculty of Medicine, University of Rome La Sapienza, Sant'Andrea Hospital, Rome, Italy.

出版信息

Cardiovasc Ultrasound. 2008 Sep 24;6:48. doi: 10.1186/1476-7120-6-48.

DOI:10.1186/1476-7120-6-48
PMID:18816396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2561006/
Abstract

Coronary angiography is considered to be the gold standard technique for assessing the severity of obstructive luminal narrowing; however, in a few circumstances it may be misleading. In these cases, cardiac computed tomography (CT) and intravascular ultrasound (IVUS) may help to give a correct interpretation.In this report, we describe the case of a 62-year-old man whose effort angina was first evaluated with coronary angiography, but whose severe stenosis of the right coronary artery was only observed on cardiac CT and IVUS. This additional diagnosis promptly resulted in a therapeutic approach with percutaneous transluminal coronary angioplasty (PTCA).

摘要

冠状动脉造影被认为是评估管腔阻塞性狭窄严重程度的金标准技术；然而，在某些情况下它可能会产生误导。在这些病例中，心脏计算机断层扫描（CT）和血管内超声（IVUS）可能有助于做出正确的诊断。在本报告中，我们描述了一名62岁男性的病例，他的劳力性心绞痛最初通过冠状动脉造影进行评估，但右冠状动脉的严重狭窄仅在心脏CT和IVUS检查中被发现。这一额外的诊断迅速促成了经皮冠状动脉腔内血管成形术（PTCA）的治疗方案。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1795/2561006/db4731a30e0d/1476-7120-6-48-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1795/2561006/83f7a2a6eca3/1476-7120-6-48-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1795/2561006/2010d8f79e41/1476-7120-6-48-12.jpg
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本文引用的文献

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