冠心病患者CTA影像学特征及其对MACE的预测价值
Imaging characteristics of CTA and its predictive value for MACE in patients with coronary heart disease
利成刚 1衡步元2
作者信息
- 1. 安徽省无为市人民医院CT室,安徽无为 238300
- 2. 武警部队安徽省总队医院医学影像科,安徽合肥 230001
- 折叠
摘要
目的:分析冠心病(CHD)患者电子计算机断层扫描血管造影(CTA)影像学特征及其对主要不良心脏事件(MACE)的预测价值.方法:CHD患者 280例,随访 1年发生MACE51例.分析CHD患者发生MACE的危险因素,绘制受试者工作特征(ROC)曲线分析其预测价值.结果:合并糖尿病、管腔直径狭窄率增加、斑块长度增加,FFRCT降低为CHD患者发生MACE的危险因素(P＜0.05).联合检测多项指标对CHD患者发生MACE的预测价值最高,曲线下面积(AUC)为 0.930.结论:CTA影像学特征及合并糖尿病均与CHD患者发生MACE密切相关,联合检测预测价值较高.
Abstract
Objective:To analyze the imaging features of computed tomography angiography(CTA)in patients with coronary heart disease(CHD)and its value in predicting major adverse cardiac events(MACE).Methods:A total of 280 CHD patients were followed up for 1 year and 51 cases of MACEAE occurred.Risk factors for MACE in CHD patients were analyzed,and receiver operating characteristic(ROC)curve was plotted to analyze its predictive value.Results:Diabetes mellitus,increased lumen diameter stenosis rate,increased plaque length,and decreased FFRCT were risk factors for MACE in CHD patients(P＜0.05).Combined detection of multiple indicators had the highest predictive value of MACE in CHD patients,and the area under the curve(AUC)was 0.930.Conclusion:The imaging features of CTA and diabetes mellitus are closely related to the occurrence of MACE in CHD patients,and the combined detection has high predictive value.
关键词
冠心病/主要不良心脏事件/电子计算机断层扫描血管造影/影像学特征/临床资料/预测价值Key words
Coronary heart disease/Major adverse cardiac events/Computed tomography angiography/Imaging features/Clinical data/Predictive value引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据