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心血管CT在缺血性心脏病中的应用价值

Utility of Cardiovascular CT in Ischemic Heart Disease.

作者信息

Marchetti Davide, Gallazzi Michele, Nemola Giulia, Stracqualursi Marco, Prestini Blanca, Masini Alessandro, Alessandrello Maria Clara, Belleggia Sara, Paolisso Pasquale, Andreini Daniele, Conte Edoardo

机构信息

Division of University Cardiology, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.

Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

出版信息

Echocardiography. 2025 Jan;42(1):e70032. doi: 10.1111/echo.70032.

DOI:10.1111/echo.70032
PMID:39821902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11737472/
Abstract

Cardiac computed tomography angiography (CCTA) has acquired a pivotal role in modern cardiology. It represents the gold standard for noninvasive coronary imaging. Moreover, CCTA permits a comprehensive evaluation of atheromatic burden and plaque composition. This study aims to review the impact of CCTA across the different presentations of ischemic heart disease, from primary prevention to the evaluation of patients requiring revascularization.

摘要

心脏计算机断层扫描血管造影（CCTA）在现代心脏病学中已占据关键地位。它是非侵入性冠状动脉成像的金标准。此外，CCTA能够对动脉粥样硬化负荷和斑块成分进行全面评估。本研究旨在回顾CCTA在缺血性心脏病不同表现形式中的作用，从一级预防到对需要血运重建患者的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd7/11737472/451532e79778/ECHO-42-e70032-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd7/11737472/7a97b523b0b0/ECHO-42-e70032-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd7/11737472/fec3509cb79c/ECHO-42-e70032-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd7/11737472/38cfda1a1dc6/ECHO-42-e70032-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd7/11737472/451532e79778/ECHO-42-e70032-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd7/11737472/7a97b523b0b0/ECHO-42-e70032-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd7/11737472/fec3509cb79c/ECHO-42-e70032-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd7/11737472/38cfda1a1dc6/ECHO-42-e70032-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dd7/11737472/451532e79778/ECHO-42-e70032-g006.jpg

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本文引用的文献

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Rapid Plaque Progression Is Independently Associated With Hyperglycemia and Low HDL Cholesterol in Patients With Stable Coronary Artery Disease: A PARADIGM Study.在稳定性冠心病患者中，快速斑块进展与高血糖和低 HDL 胆固醇独立相关：PARADIGM 研究。
Circ Cardiovasc Imaging. 2024 Jul;17(7):e016481. doi: 10.1161/CIRCIMAGING.123.016481. Epub 2024 Jul 16.
2
Rationale and Design of SCOT-HEART 2 Trial: CT Angiography for the Prevention of Myocardial Infarction.SCOT-HEART 2 试验的原理和设计：CT 血管造影预防心肌梗死。
JACC Cardiovasc Imaging. 2024 Sep;17(9):1101-1112. doi: 10.1016/j.jcmg.2024.05.016. Epub 2024 Jul 10.
3
The Role of Multimodality Imaging (CT & MR) as a Guide to the Management of Chronic Coronary Syndromes.
多模态成像（CT与MR）在慢性冠状动脉综合征管理中的指导作用
J Clin Med. 2024 Jun 13;13(12):3450. doi: 10.3390/jcm13123450.
4
Coronary bypass surgery guided by computed tomography in a low-risk population.低危人群中基于计算机断层扫描的冠状动脉旁路移植术。
Eur Heart J. 2024 May 27;45(20):1804-1815. doi: 10.1093/eurheartj/ehae199.
5
Utility of Fractional Flow Reserve Computed Tomography Angiography in Patients With Stable Coronary Artery Disease.稳定性冠心病患者中计算血流储备分数的计算机断层血管造影的应用。
Am J Cardiol. 2023 Dec 1;208:31-36. doi: 10.1016/j.amjcard.2023.07.080. Epub 2023 Oct 7.
6
Coronary Plaque Characteristics Associated With Major Adverse Cardiovascular Events in Atherosclerotic Patients and Lesions: A Systematic Review and Meta-Analysis.与动脉粥样硬化患者和病变相关的主要不良心血管事件的冠状动脉斑块特征：系统评价和荟萃分析。
JACC Cardiovasc Imaging. 2023 Dec;16(12):1584-1604. doi: 10.1016/j.jcmg.2023.08.006. Epub 2023 Oct 4.
7
2023 ESC Guidelines for the management of acute coronary syndromes.2023年欧洲心脏病学会急性冠状动脉综合征管理指南
Eur Heart J Acute Cardiovasc Care. 2024 Feb 9;13(1):55-161. doi: 10.1093/ehjacc/zuad107.
8
Preoperative angiography-derived fractional flow reserve may predict coronary artery bypass grafting occlusion and disease progression.术前血管造影衍生的血流储备分数可能预测冠状动脉旁路移植术闭塞和疾病进展。
J Cardiovasc Med (Hagerstown). 2023 Sep 1;24(9):651-658. doi: 10.2459/JCM.0000000000001509.
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In search of new gatekeepers: coronary CT (Computed Tomography) in acute coronary syndrome.寻找新的把关者：急性冠状动脉综合征中的冠状动脉CT（计算机断层扫描）
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Imaging subclinical coronary atherosclerosis to guide lipid management, are we there yet?对亚临床冠状动脉粥样硬化进行成像以指导血脂管理，我们做到了吗？
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