本文選題：胸痛 + 高危斑塊　； 參考：《臨床心血管病雜志》2017年09期

【摘要】：目的:評價高危斑塊對冠狀動脈(冠脈)輕中度狹窄胸痛患者的預(yù)測價值。方法:連續(xù)入選2014-01-2015-12因胸痛來我院行冠脈CT血管造影(CCTA)提示冠脈輕中度狹窄患者384例,入選患者通過CT檢查檢出低CT衰減、餐巾環(huán)征、正性重構(gòu)、點(diǎn)狀鈣化等特征的高危斑塊�；颊吒鶕�(jù)高危斑塊積分分為3組,0分組292例,1分組30例,≥2分組62例。第1、3、6及12個月時對入選患者進(jìn)行隨訪,記錄主要不良心臟事件(MACE)。結(jié)果:隨訪期間共發(fā)生76例心臟不良事件�？傮w不良事件及心源性死亡方面,≥2分組患者高于0分組(P0.05)。Kaplan-Meier生存分析表明,0分組、1分組及≥2分組累積無事件生存率分別為83.2%、78.1%及60.0%,0分組顯著高于≥2分組(χ~2=16.29,P0.05)。COX回歸分析表明,高危斑塊積分≥2分對患者預(yù)后有顯著影響(HR=3.447,95%CI:2.112~5.625,P0.01)。結(jié)論:高危斑塊是冠脈輕中度狹窄胸痛患者發(fā)生心臟不良事件的獨(dú)立危險因素,尤其高危斑塊積分≥2分與患者預(yù)后顯著相關(guān),高危斑塊積分可嘗試評價胸痛患者預(yù)后。
[Abstract]:Objective: to evaluate the predictive value of high-risk plaque in patients with mild to moderate stenosis of coronary artery. Methods: 384 patients with mild to moderate coronary stenosis were selected in our hospital for chest pain during 2014-01-2015-12. High risk plaques of low CT attenuation, napkin ring sign, positive remodeling and punctate calcification were detected by CT examination. According to the high risk plaque score, the patients were divided into 3 groups: 0 group, 292 cases, 30 cases, and 鈮，

本文編號：1963256