评估美国心脏协会动脉粥样硬化性心血管疾病风险评分与冠状动脉成像结果之间的关系。
Assessing the Relationship Between American Heart Association Atherosclerotic Cardiovascular Disease Risk Score and Coronary Artery Imaging Findings.
作者信息
Li Ying, Zhu Guangming, Ding Victoria, Jiang Bin, Ball Robyn L, Ahuja Neera, Rodriguez Fatima, Fleischmann Dominik, Desai Manisha, Saloner David, Saba Luca, Wintermark Max, Hom Jason
机构信息
Department of Medicine, Quantitative Sciences Unit, and.
Department of Neurology, PLA Army General Hospital, Beijing, China.
出版信息
J Comput Assist Tomogr. 2018 Nov/Dec;42(6):898-905. doi: 10.1097/RCT.0000000000000823.
OBJECTIVE
The aim of this study was to characterize the relationship between computed tomography angiography imaging characteristics of coronary artery and atherosclerotic cardiovascular disease (ASCVD) score.
METHODS
We retrospectively identified all patients who underwent a coronary computed tomography angiography at our institution from December 2013 to July 2016, then we calculated the 10-year ASCVD score. We characterized the relationship between coronary artery imaging findings and ASCVD risk score.
RESULTS
One hundred fifty-one patients met our inclusion criteria. Patients with a 10-year ASCVD score of 7.5% or greater had significantly more arterial segments showing stenosis (46.4%, P = 0.008) and significantly higher maximal plaque thickness (1.25 vs 0.53, P = 0.001). However, among 56 patients with a 10-year ASCVD score of 7.5% or greater, 30 (53.6%) had no arterial stenosis. Furthermore, among the patients with a 10-year ASCVD score of less than 7.5%, 24 (25.3%) had some arterial stenosis.
CONCLUSIONS
There is some concordance but not a perfect overlap between 10-year ASCVD risk scores and coronary artery imaging findings.
目的
本研究旨在描述冠状动脉计算机断层扫描血管造影成像特征与动脉粥样硬化性心血管疾病（ASCVD）评分之间的关系。
方法
我们回顾性纳入了2013年12月至2016年7月在本机构接受冠状动脉计算机断层扫描血管造影的所有患者，然后计算其10年ASCVD评分。我们描述了冠状动脉成像结果与ASCVD风险评分之间的关系。
结果
151例患者符合我们的纳入标准。10年ASCVD评分≥7.5%的患者中，显示狭窄的动脉节段显著更多（46.4%，P = 0.008），最大斑块厚度显著更高（1.25对0.53，P = 0.001）。然而，在56例10年ASCVD评分≥7.5%的患者中，30例（53.6%）没有动脉狭窄。此外，在10年ASCVD评分＜7.5%的患者中，24例（25.3%）存在一些动脉狭窄。
结论
10年ASCVD风险评分与冠状动脉成像结果之间存在一定的一致性，但并非完全重叠。
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