【摘要】：目的探討冠狀動(dòng)脈鈣化(CAC)程度對(duì)主要心血管事件(MACE)發(fā)生的影響。方法回顧性分析187例可疑冠心病(CHD)的門診患者,所有患者進(jìn)行冠狀動(dòng)脈CT檢查,根據(jù)冠狀動(dòng)脈鈣化積分(CACS)分為CACS≤100分組(n=112)及CACS100分組(n=75),對(duì)于入選患者進(jìn)行隨訪(12~24個(gè)月),記錄MACE的發(fā)生情況(死亡、心肌梗死、冠脈旁路移植術(shù)、冠脈支架植入術(shù))。結(jié)果 CACS100分組患者年齡、糖尿病發(fā)病率及低密度脂蛋白膽固醇(LDL-C)水平均明顯高于CACS≤100分組患者(P0.05);Logistic回歸分析顯示年齡(OR=1.163,P0.01)、糖尿病(OR=1.921,P0.01)及LDL-C升高(OR=1.471,P0.01)是CAC的危險(xiǎn)因素;MACE發(fā)病率CACS100分組患者(6.7%)明顯高于CACS≤100分組患者(1.8%,P0.05)。結(jié)論年齡、糖尿病及LDL-C水平升高是CAC程度的重要影響因素,且鈣化程度與MACE正相關(guān)。
[Abstract]:Objective to investigate the effect of coronary artery calcification (CAC) on (MACE), a major cardiovascular event. Methods (CHD) patients with suspected coronary heart disease were analyzed retrospectively. all patients underwent coronary artery CT examination. According to coronary artery calcification score (CACS), they were divided into CACS 鈮，

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