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[临床实践中的冠状动脉钙化积分]

[Coronary artery calcium score in clinical practice].

作者信息

Dedic Admir, Schaap Jeroen

机构信息

Amphia Ziekenhuis, afd. Cardiologie, Breda.

出版信息

Ned Tijdschr Geneeskd. 2016;160:A9979.

Abstract

Since the beginning of the 1990s it is possible to obtain images of the heart using CT technology to visualise coronary calcifications. The amount of coronary calcification can be quantified with a coronary artery calcium score. Today, there is sufficient scientific evidence that justifies the use of the coronary artery calcium score in selected patients. In asymptomatic patients, the coronary artery calcium score can be used for more precise and tailored risk stratification for the occurrence of future cardiovascular events. The absence of coronary calcification is associated with a good prognosis. In addition, the coronary artery calcium score can also be used as the initial test in symptomatic patients, to dictate treatment strategies going forward.

摘要

自20世纪90年代初以来,利用CT技术获取心脏图像以可视化冠状动脉钙化成为可能。冠状动脉钙化的程度可用冠状动脉钙化积分来量化。如今,有足够的科学证据证明在特定患者中使用冠状动脉钙化积分是合理的。在无症状患者中,冠状动脉钙化积分可用于对未来心血管事件发生的风险进行更精确和量身定制的分层。无冠状动脉钙化与良好的预后相关。此外,冠状动脉钙化积分也可作为有症状患者的初始检查,以指导后续的治疗策略。

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