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无冠状动脉粥样硬化人群冠状动脉周围脂肪影响因素研究

Study of Factors Influencing PCAT in Non-Atherosclerotic People

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目的 探索传统心血管危险因素如年龄、性别等对无冠状动脉粥样硬化人群冠状动脉周围脂肪组织(PCAT)的影响.方法 回顾性选取经冠状动脉CT血管成像检查证实无冠状动脉粥样硬化受检者526例,分析左前降支及左回旋支近端40 mm、右冠状动脉自距离开口 10~50 mm处的冠状动脉PCAT体积及衰减指数(FAI),分析评估各心血管危险因素对PCAT体积及FAI的影响.结果 (1)多因素Logistic回归显示:性别、年龄及BMI是PCAT FAI和体积的独立影响因素,心前区不适症状与PCAT体积独立相关;(2)男性PCAT的FAI值及体积均高于女性(P<0.05);(3)女性青年组PCAT参数与中老年组之间差异均有统计学意义(P<0.01);(4)不同冠状动脉主干分析显示,3支冠状动脉主干PCAT体积两两比较差异均有显著统计学意义(P<0.001),其中右冠状动脉最高、左回旋支最低;PCAT-FAI分析中左回旋支最高,左回旋支的FAI值与左前降支、右冠状动脉差异均有显著统计学意义(P<0.001).结论 无冠状动脉粥样硬化人群的PCAT参数在不同性别、年龄及冠状动脉分支间存在差异,提示PCAT体积、FAI的正常参考区间应考虑相关影响因素分别设定.
Objective To investigate the effect of traditional cardiovascular risk factors such as age and gender on PCAT in people without coronary atherosclerosis.Methods A total of 526 subjects without coronary atherosclerosis con-firmed by CCTA examination were retrospectively included.PCAT volumes and FAI were measured at 40 mm proximal to the LAD and LCX and 10 mm to 50 mm proximal to the RCA,then the effect of each cardiovascular risk factor on PCAT was analyzed.Results(1)Multivariate logistic regression showed that gender,age and BMI were independent influences on PCAT-FAI and volume,and the symptoms of precordial discomfort were independently associated with PCAT volume.(2)PCAT-FAI and volume were both higher in men than in women(P<0.05).(3)There was a statistically significant differ-ence between the PCAT parameters in the female youth group and the middle-aged and elderly groups(P<0.01).(4)A-nalysis of different coronary trunks showed that there was a statistically significant difference in PCAT volume between two comparisons of all three coronary trunks(P<0.001).PCAT volume was highest in RCA and lowest in LCX;LCX was highest in PCAT-FAI analysis,and the FAI values of LCX differed statistically significantly from both LAD and RCA(P<0.001).Conclusion In non-atherosclerosis population,PCAT related parameters varied among different genders,ages and coronary branches,suggesting that the normal reference intervals for PCAT volume and FAI should be set separately considering relevant influencing factors.

Coronary arteryCoronary CT angiographyPericoronary adipose tissueCoronary artery atherosclerosis

马文珊、李莎、于鑫鑫、王艺霖、王锡明

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264003 烟台,滨州医学院医学影像学院

250021 济南,山东第一医科大学附属省立医院医学影像科

冠状动脉 冠状动脉CT血管造影 冠状动脉周围脂肪组织 冠状动脉粥样硬化

国家自然科学基金项目

82271993

2024

临床放射学杂志
黄石市医学科技情报所

临床放射学杂志

CSTPCD北大核心
影响因子:0.872
ISSN:1001-9324
年,卷(期):2024.43(7)