Enaba Moanes M, Elsammak Ahmed A, Elgerby Khaled M, Salem Hatem M
Department of Diagnostic Radiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Department of Internal medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Pol J Radiol. 2017 Oct 20;82:625-633. doi: 10.12659/PJR.903536. eCollection 2017.
To assess the diagnostic value of MDCT coronary angiography for evaluation of acute chest pain of coronary origin in non-diabetic patients.
MATERIAL/METHODS: In 22 patients without DM, we assessed coronary arteries with multidetector CT angiography and invasive conventional angiography.
CT coronary angiography revealed positive coronary artery disease findings in 16 patients; LAD was affected in 16 (72.3%), RCA in 14 (63.3%), and LCX in 8 (36.4%) cases. The proximal part of LAD was the most commonly affected coronary artery (14 cases, 63.3%) in the studied patients who underwent MSCT coronary angiography. As regards the calcium score, 4 patients (18%) had low calcium scores, 6 cases (27%) had moderate calcium scores, and 12 cases (55%) had high calcium scores. There were 6 patients with positive findings of coronary artery disease detected on MDCT coronary angiography that were not mirrored by conventional angiography.
MDCT angiography of the coronaries is a good and rapid method for evaluation of the coronary anatomy and for early detection and grading of coronary lesions in non-diabetic patients.
评估多层螺旋CT冠状动脉造影对非糖尿病患者冠状动脉源性急性胸痛的诊断价值。
材料/方法：对22例非糖尿病患者，我们采用多排探测器CT血管造影和有创性传统血管造影评估冠状动脉。
CT冠状动脉造影显示16例患者存在阳性冠状动脉疾病表现；左前降支（LAD）受累16例（72.3%），右冠状动脉（RCA）受累14例（63.3%），左旋支（LCX）受累8例（36.4%）。在接受多层螺旋CT冠状动脉造影的研究患者中，LAD近端是最常受累的冠状动脉（14例，63.3%）。关于钙化积分，4例患者（18%）钙化积分低，6例（27%）钙化积分中等，12例（55%）钙化积分高。在多层螺旋CT冠状动脉造影上检测到6例冠状动脉疾病阳性表现的患者，传统血管造影未显示相应病变。
冠状动脉多层螺旋CT血管造影是评估非糖尿病患者冠状动脉解剖结构、早期检测冠状动脉病变及病变分级的一种良好且快速的方法。
