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冠状动脉疾病。钙评分零：不是排除冠状动脉疾病的守门员。

Coronary artery disease. Calcium score of zero: not a gatekeeper to rule out coronary artery disease.

机构信息

Cardiac MR PET CT Program, Division of Cardiology and Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.

出版信息

Rev Cardiovasc Med. 2010 Fall;11(4):271-3. doi: 10.3909/ricm0568.

DOI:10.3909/ricm0568
PMID:21389919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3083450/
Abstract

The Absence of Coronary Calcification Does Not Exclude Obstructive Coronary Artery Disease or the Need for Revascularization in Patients Referred for Conventional Coronary Angiography

摘要

在因常规冠状动脉造影而就诊的患者中，冠状动脉无钙化并不能排除阻塞性冠状动脉疾病或血运重建的必要性。

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Coronary artery disease. Calcium score of zero: not a gatekeeper to rule out coronary artery disease.冠状动脉疾病。钙评分零：不是排除冠状动脉疾病的守门员。
Rev Cardiovasc Med. 2010 Fall;11(4):271-3. doi: 10.3909/ricm0568.
2
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引用本文的文献

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Using coronary artery calcification combined with pretest clinical risk assessment as a means of determining investigation and treatment in patients presenting with chest pain in a rural setting.在农村地区，将冠状动脉钙化与检查前临床风险评估相结合，作为确定胸痛患者检查和治疗方案的一种方法。
Biomed Res Int. 2015;2015:582590. doi: 10.1155/2015/582590. Epub 2015 Feb 5.
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PLoS One. 2014 Apr 8;9(4):e92396. doi: 10.1371/journal.pone.0092396. eCollection 2014.

本文引用的文献

1
The absence of coronary calcification does not exclude obstructive coronary artery disease or the need for revascularization in patients referred for conventional coronary angiography.在因常规冠状动脉造影而就诊的患者中，无冠状动脉钙化并不能排除阻塞性冠状动脉疾病或需要血运重建。
J Am Coll Cardiol. 2010 Feb 16;55(7):627-34. doi: 10.1016/j.jacc.2009.07.072.
2
Diagnostic and prognostic value of absence of coronary artery calcification.冠状动脉钙化缺失的诊断和预后价值
JACC Cardiovasc Imaging. 2009 Jun;2(6):675-88. doi: 10.1016/j.jcmg.2008.12.031.
3
Coronary computed tomography angiography for early triage of patients with acute chest pain: the ROMICAT (Rule Out Myocardial Infarction using Computer Assisted Tomography) trial.冠状动脉计算机断层扫描血管造影用于急性胸痛患者的早期分诊：ROMICAT（使用计算机辅助断层扫描排除心肌梗死）试验
J Am Coll Cardiol. 2009 May 5;53(18):1642-50. doi: 10.1016/j.jacc.2009.01.052.
4
Coronary calcium predicts events better with absolute calcium scores than age-sex-race/ethnicity percentiles: MESA (Multi-Ethnic Study of Atherosclerosis).在多民族动脉粥样硬化研究（MESA）中，冠状动脉钙化通过绝对钙评分比年龄-性别-种族/族裔百分位数能更好地预测事件。
J Am Coll Cardiol. 2009 Jan 27;53(4):345-52. doi: 10.1016/j.jacc.2008.07.072.
5
Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial.64排冠状动脉计算机断层扫描血管造影术对无已知冠状动脉疾病个体冠状动脉狭窄评估的诊断性能：前瞻性多中心ACCURACY（冠状动脉计算机断层扫描血管造影术对接受有创冠状动脉造影术个体的评估）试验结果
J Am Coll Cardiol. 2008 Nov 18;52(21):1724-32. doi: 10.1016/j.jacc.2008.07.031.
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Defining normal distributions of coronary artery calcium in women and men (from the Framingham Heart Study).定义男性和女性冠状动脉钙化的正态分布（来自弗雷明汉心脏研究）。
Am J Cardiol. 2008 Nov 1;102(9):1136-41, 1141.e1. doi: 10.1016/j.amjcard.2008.06.038. Epub 2008 Aug 20.
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Noninvasive assessment of plaque morphology and composition in culprit and stable lesions in acute coronary syndrome and stable lesions in stable angina by multidetector computed tomography.多排螺旋计算机断层扫描对急性冠状动脉综合征罪犯病变和稳定病变以及稳定型心绞痛稳定病变的斑块形态和成分进行无创评估。
J Am Coll Cardiol. 2006 Apr 18;47(8):1655-62. doi: 10.1016/j.jacc.2006.01.041. Epub 2006 Mar 27.
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Multi-Ethnic Study of Atherosclerosis: objectives and design.动脉粥样硬化的多民族研究：目标与设计
Am J Epidemiol. 2002 Nov 1;156(9):871-81. doi: 10.1093/aje/kwf113.
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Arterial calcification and not lumen stenosis is highly correlated with atherosclerotic plaque burden in humans: a histologic study of 723 coronary artery segments using nondecalcifying methodology.
J Am Coll Cardiol. 1998 Jan;31(1):126-33. doi: 10.1016/s0735-1097(97)00443-9.