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急性心肌梗死患者冠状动脉狭窄、心肌灌注和心室功能的同步评估。

Simultaneous assessment of coronary stenosis, myocardial perfusion, and ventricular function in a patient with acute myocardial infarction.

作者信息

Shen Michael, Ortiz Luis, Bush Howard, Vargas Eduardo, Dandes Eric

机构信息

Section of Cardiac Imaging, Cardiovascular Medicine, Cleveland Clinic, Weston, FL 33331, USA.

出版信息

J Cardiovasc Comput Tomogr. 2008 Mar-Apr;2(2):123-5. doi: 10.1016/j.jcct.2008.01.002. Epub 2008 Jan 31.

DOI:10.1016/j.jcct.2008.01.002
PMID:19083934
Abstract

Cardiac CT angiography (CTA) is an ideal tool to investigate cardiac and noncardiac causes of acute chest pain. In this case, careful planning of the CTA acquisition and reconstruction limits permitted not only the exclusion of aortic dissection and provided high resolution images of coronary anatomy but also showed a concordant abnormality in myocardial perfusion and ventricular function in the setting of an acute coronary syndrome. Detailed planning of every CTA acquisition reconstruction protocol is essential to obtain the information necessary for clinical decision-making strategies and interventions in the patient with chest pain.

摘要

心脏CT血管造影(CTA)是用于研究急性胸痛的心脏和非心脏病因的理想工具。在此病例中,对CTA采集和重建参数的精心规划不仅排除了主动脉夹层,提供了高分辨率的冠状动脉解剖图像,还显示了急性冠状动脉综合征情况下心肌灌注和心室功能的一致性异常。对每次CTA采集重建方案进行详细规划对于获取胸痛患者临床决策策略和干预所需的信息至关重要。

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