急性冠状动脉综合征和急性主动脉综合征

Acute Coronary and Acute Aortic Syndromes.

作者信息

Gulhane Avanti, Litt Harold

机构信息

Cardiovascular Imaging, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104, USA.

Cardiothoracic Imaging Division, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104, USA.

出版信息

Radiol Clin North Am. 2019 Jan;57(1):25-44. doi: 10.1016/j.rcl.2018.08.004.

DOI:10.1016/j.rcl.2018.08.004

PMID:30454815

Abstract

Multidetector-row computed tomography (MDCT) can provide crucial information and rapid triage of emergency department patients with suspected acute coronary syndrome (ACS) or acute aortic syndrome (AAS). Coronary computed tomography angiography has high negative predictive value to rule out ACS, and MDCT is diagnostic for AAS and its variants. Optimization of acquisition technique and up-to-date knowledge of the pathophysiology of these conditions can improve study and interpretation quality for diagnosis of ACS or AAS.

摘要

多排螺旋计算机断层扫描（MDCT）可为疑似急性冠状动脉综合征（ACS）或急性主动脉综合征（AAS）的急诊科患者提供关键信息并实现快速分诊。冠状动脉计算机断层扫描血管造影对排除ACS具有较高的阴性预测价值，而MDCT可用于诊断AAS及其变体。优化采集技术以及掌握这些病症病理生理学的最新知识可提高ACS或AAS诊断的研究和解读质量。