Sun Qianhui, Liu Minghao, Zeng Ming, Jia Haibo
Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, 150086 Harbin, Heilongjiang, China.
Key Laboratory of Myocardial Ischemia, Harbin Medical University, 150086 Harbin, Heilongjiang, China.
Rev Cardiovasc Med. 2023 Feb 6;24(2):45. doi: 10.31083/j.rcm2402045. eCollection 2023 Feb.
Despite the increasing number of coronary interventions in China, long-term adverse cardiovascular events remain high, especially in patients with acute coronary syndromes (ACS). The advent of intracoronary imaging and coronary physiological diagnostic techniques, such as optical coherence tomography (OCT), intravascular ultrasound (IVUS), near infrared spectroscopy (NIRS), and flow reserve fraction (FFR), has optimized the diagnosis and risk classification of patients with ACS. Intracoronary diagnostics compensate for the deficiencies of conventional coronary angiography in identifying and incriminating lesions and high-risk lesions. The combination of intracoronary imaging and physiological techniques is expected to achieve a comprehensive evaluation of the structural features and physiology of the coronary arteries, thus further tailoring and improving the prognosis of patients.
尽管中国冠状动脉介入治疗的数量不断增加，但长期不良心血管事件的发生率仍然很高，尤其是在急性冠状动脉综合征（ACS）患者中。冠状动脉内成像和冠状动脉生理诊断技术的出现，如光学相干断层扫描（OCT）、血管内超声（IVUS）、近红外光谱（NIRS）和血流储备分数（FFR），优化了ACS患者的诊断和风险分类。冠状动脉内诊断弥补了传统冠状动脉造影在识别和判定病变及高危病变方面的不足。冠状动脉内成像和生理技术的结合有望实现对冠状动脉结构特征和生理学的全面评估，从而进一步调整和改善患者的预后。
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