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[心脏CT在急性冠状动脉综合征患者中的潜在作用]

[The Potential Role of Cardiac CT in Patients with Acute Coronary Syndrome].

作者信息

Lee Sang Hyun, Choo Ki Seok

出版信息

Taehan Yongsang Uihakhoe Chi. 2022 Jan;83(1):28-41. doi: 10.3348/jksr.2021.0174. Epub 2022 Jan 21.

DOI:10.3348/jksr.2021.0174
PMID:36237362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9238217/
Abstract

Acute coronary syndrome involves three types of coronary artery disease associated with sudden rupture of coronary artery plaque, and has a clinical presentation ranging from ST-segment elevation myocardial infarction (STEMI) to non-ST-segment elevation myocardial infarction (NSTEMI) or unstable angina. Cardiac CT can help quantify and characterize atherosclerotic plaques. According to a previous study, low-attenuation plaque, napkin ring sign, positive remodeling, spotty calcification, and increased perivascular fat attenuation are associated with plaque ruptures on cardiac CT. Therefore, coronary artery stenosis, as well as acute coronary artery syndrome, can be diagnosed using cardiac CT.

摘要

急性冠状动脉综合征包括三种与冠状动脉斑块突然破裂相关的冠状动脉疾病，临床表现范围从ST段抬高型心肌梗死（STEMI）到非ST段抬高型心肌梗死（NSTEMI）或不稳定型心绞痛。心脏CT有助于对动脉粥样硬化斑块进行量化和特征描述。根据先前的一项研究，心脏CT上低衰减斑块、餐巾环征、阳性重塑、斑点状钙化和血管周围脂肪衰减增加与斑块破裂有关。因此，使用心脏CT可以诊断冠状动脉狭窄以及急性冠状动脉综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/b4a36a4cc9bb/jksr-83-28-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/6ab735a5aca7/jksr-83-28-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/35a6b0db06c1/jksr-83-28-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/f205477c3746/jksr-83-28-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/dd946bad0a3e/jksr-83-28-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/5b3886a76a97/jksr-83-28-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/a27edc484e30/jksr-83-28-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/814b6b8d065d/jksr-83-28-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/28629c8d6054/jksr-83-28-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/b4a36a4cc9bb/jksr-83-28-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/6ab735a5aca7/jksr-83-28-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/35a6b0db06c1/jksr-83-28-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/f205477c3746/jksr-83-28-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/dd946bad0a3e/jksr-83-28-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/5b3886a76a97/jksr-83-28-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/a27edc484e30/jksr-83-28-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/814b6b8d065d/jksr-83-28-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/28629c8d6054/jksr-83-28-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d879/9238217/b4a36a4cc9bb/jksr-83-28-g009.jpg

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本文引用的文献

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Radiol Cardiothorac Imaging. 2021 Feb 25;3(1):e200563. doi: 10.1148/ryct.2021200563. eCollection 2021 Feb.
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Current Role of Computed Tomography in the Evaluation of Acute Coronary Syndrome.计算机断层扫描在急性冠状动脉综合征评估中的当前作用
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2020年欧洲心脏病学会非持续性ST段抬高型急性冠状动脉综合征患者管理指南
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