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JACC:冠脉CTA可排除有临床意义的非ST段抬高型心梗患者

2020-02-18 不详 MedSci原创

对于非ST段抬高型急性冠脉综合征(NSTEACS)患者,冠脉的病理解剖从结构正常血管到严重的冠脉损伤不等。本研究的目的旨在评估冠状动脉ct血管造影(CTA)是否能排除冠脉狭窄≥50%的NSTEACS患者。本研究纳入分析了接受冠脉CTA检查的1023名NSTEACS患者(其中583名在发病后12h内接受了冠脉CTA检查,440名在发病后48-72h内接受了冠脉CTA检查)。通过冠脉CTA,共发现了6

对于非ST段抬高型急性冠脉综合征(NSTEACS)患者,冠脉的病理解剖从结构正常血管到严重的冠脉损伤不等。本研究的目的旨在评估冠状动脉ct血管造影(CTA)是否能排除冠脉狭窄≥50%的NSTEACS患者。

本研究纳入分析了接受冠脉CTA检查的1023名NSTEACS患者(其中583名在发病后12h内接受了冠脉CTA检查,440名在发病后48-72h内接受了冠脉CTA检查)。通过冠脉CTA,共发现了68.9%的冠脉狭窄≥50%的患者,而侵入性冠状动脉造影(ICA)发现了67.4%的冠脉狭窄≥50%的患者。每个患者的冠脉CTA的阴性预测值为90.9%,阳性预测值、敏感度和特异度分别为87.9% (95% CI: 85.3%-90.1%)、 96.5% (95% CI: 94.9%-97.8%) 和72.4% (95% CI: 67.2%-77.1%)。

研究结果显示,冠状动脉CTA对NSTEACS患者排除有临床意义的冠状动脉疾病具有较高的诊断准确率。

原始出处:

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    2021-01-19 科研科研科研

    很好的学习文章和解读

    0

  2. 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style='color:#2F92EE;'>#心梗患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51062, encryptionId=5c2e5106290, topicName=心梗患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e6a1280, createdName=zhanglin3079, createdTime=Sun Jan 17 01:23:00 CST 2021, time=2021-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1326481, encodeId=0193132648157, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Thu Feb 20 07:23:00 CST 2020, time=2020-02-20, status=1, ipAttribution=), 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    2020-07-26 windight
  4. 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topicName=null, topicId=null, topicList=[TopicDto(id=99229, encryptionId=fec79922910, topicName=非ST段抬高型)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Thu Dec 17 01:23:00 CST 2020, time=2020-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2024063, encodeId=652b202406367, content=<a href='/topic/show?id=0ee11686460' target=_blank style='color:#2F92EE;'>#ST段抬高型心梗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16864, encryptionId=0ee11686460, topicName=ST段抬高型心梗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ac59108, createdName=hxj0117, createdTime=Wed Jul 15 02:23:00 CST 2020, time=2020-07-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2049510, encodeId=aa74204951091, content=<a href='/topic/show?id=5c2e5106290' target=_blank style='color:#2F92EE;'>#心梗患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51062, encryptionId=5c2e5106290, topicName=心梗患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e6a1280, createdName=zhanglin3079, createdTime=Sun Jan 17 01:23:00 CST 2021, time=2021-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1326481, encodeId=0193132648157, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Thu Feb 20 07:23:00 CST 2020, time=2020-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1423102, encodeId=e3291423102c3, content=<a href='/topic/show?id=936c16863b5' target=_blank style='color:#2F92EE;'>#ST段抬高#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16863, encryptionId=936c16863b5, topicName=ST段抬高)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=91d33758978, createdName=gdsun, createdTime=Thu Feb 20 07:23:00 CST 2020, time=2020-02-20, status=1, ipAttribution=)]
    2020-10-31 hbwxf
  5. 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style='color:#2F92EE;'>#心梗患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51062, encryptionId=5c2e5106290, topicName=心梗患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e6a1280, createdName=zhanglin3079, createdTime=Sun Jan 17 01:23:00 CST 2021, time=2021-01-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1326481, encodeId=0193132648157, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Thu Feb 20 07:23:00 CST 2020, time=2020-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1423102, encodeId=e3291423102c3, content=<a href='/topic/show?id=936c16863b5' target=_blank style='color:#2F92EE;'>#ST段抬高#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16863, encryptionId=936c16863b5, topicName=ST段抬高)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=91d33758978, createdName=gdsun, createdTime=Thu Feb 20 07:23:00 CST 2020, time=2020-02-20, status=1, ipAttribution=)]
    2020-09-16 lxg951
  6. 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  7. 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    2020-02-20 gdsun

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