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低危急性胸痛患者的 CT 冠状动脉成像。

CT coronary angiography in low-risk, acute chest pain.

机构信息

Department of Radiology, Erasmus University Medical Center, 's Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands.

出版信息

Nat Rev Cardiol. 2012 Nov;9(11):615-6. doi: 10.1038/nrcardio.2012.130. Epub 2012 Sep 4.

DOI:10.1038/nrcardio.2012.130
PMID:22945328
Abstract

The ROMICAT-II trial shows that CT coronary angiography is safe and fast for the exclusion of clinically significant obstructive coronary artery disease in low-risk patients with acute chest pain. Several issues and questions relating to the low prevalence of disease and the actual benefit to patients remain to be answered.

摘要

ROMICAT-II 试验表明，对于低危急性胸痛患者，CT 冠状动脉成像在排除有临床意义的阻塞性冠状动脉疾病方面是安全且快速的。但仍有几个与疾病低患病率和对患者实际获益相关的问题有待解答。

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本文引用的文献

1
Coronary CT angiography versus standard evaluation in acute chest pain.冠状动脉 CT 血管造影与急性胸痛的标准评估。
N Engl J Med. 2012 Jul 26;367(4):299-308. doi: 10.1056/NEJMoa1201161.
2
CT angiography for safe discharge of patients with possible acute coronary syndromes.CT 血管造影术可安全出院疑似急性冠脉综合征患者。
N Engl J Med. 2012 Apr 12;366(15):1393-403. doi: 10.1056/NEJMoa1201163. Epub 2012 Mar 26.
3
Diagnosis of ischemia-causing coronary stenoses by noninvasive fractional flow reserve computed from coronary computed tomographic angiograms. Results from the prospective multicenter DISCOVER-FLOW (Diagnosis of Ischemia-Causing Stenoses Obtained Via Noninvasive Fractional Flow Reserve) study.
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J Am Coll Cardiol. 2011 Nov 1;58(19):1989-97. doi: 10.1016/j.jacc.2011.06.066.
4
The CT-STAT (Coronary Computed Tomographic Angiography for Systematic Triage of Acute Chest Pain Patients to Treatment) trial.CT-STAT（用于急性胸痛患者治疗系统分诊的冠状动脉计算机断层扫描血管造影术）试验。
J Am Coll Cardiol. 2011 Sep 27;58(14):1414-22. doi: 10.1016/j.jacc.2011.03.068.
5
Prognostic value of CT angiography for major adverse cardiac events in patients with acute chest pain from the emergency department: 2-year outcomes of the ROMICAT trial.CT 血管造影对急诊科急性胸痛患者主要不良心脏事件的预后价值：ROMICAT 试验的 2 年结果。
JACC Cardiovasc Imaging. 2011 May;4(5):481-91. doi: 10.1016/j.jcmg.2010.12.008.
6
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J Am Coll Cardiol. 2008 Jul 29;52(5):357-65. doi: 10.1016/j.jacc.2008.02.086.
7
A randomized controlled trial of multi-slice coronary computed tomography for evaluation of acute chest pain.一项关于多层螺旋冠状动脉计算机断层扫描评估急性胸痛的随机对照试验。
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Lancet. 2001 Feb 24;357(9256):599-603. doi: 10.1016/S0140-6736(00)04058-7.