心电与循环
心電與循環
심전여순배
Journal of Electrocardiology(China)
2014年
3期
211-215,232
,共6页
周林海%梁碧荣%黄伟剑%黄周青%林杰%单培仁%虞晓武
週林海%樑碧榮%黃偉劍%黃週青%林傑%單培仁%虞曉武
주림해%량벽영%황위검%황주청%림걸%단배인%우효무
运动平板试验%多排螺旋CT%冠心病
運動平闆試驗%多排螺鏇CT%冠心病
운동평판시험%다배라선CT%관심병
Treadmil exercise test%Multidetector computed tomography%Coronary artery disease
目的:探讨运动平板试验(TET)结合多排螺旋CT血管造影(CTA)对冠状动脉病变预后的预测价值。方法回顾性分析595例行冠状动脉CTA和TET检查的疑似冠心病患者的资料。冠状动脉CTA分为正常、轻度狭窄(<40%)、中度狭窄(40%~69%)、严重狭窄(>70%);TET结果分为阳性和阴性,并计算DUKE积分,记录随访1.52~3.31年的主要心血管事件(MACE)。结果记录到39次MACE,发生率为2.74%,冠状动脉CTA能有助于危险分层,TET结合冠状动脉CTA与单独冠状动脉CTA比较并不能提高危险分层(P>0.05)。CTA中度和重度狭窄者、TET阳性对预测MACE有价值,HR分别为2.60(95%CI 1.31~5.22,P<0.01)和2.35(95%CI 1.22~4.83,P<0.05)。结论 TET阳性对冠状动脉CTA中、重度狭窄者有预后预测价值。
目的:探討運動平闆試驗(TET)結閤多排螺鏇CT血管造影(CTA)對冠狀動脈病變預後的預測價值。方法迴顧性分析595例行冠狀動脈CTA和TET檢查的疑似冠心病患者的資料。冠狀動脈CTA分為正常、輕度狹窄(<40%)、中度狹窄(40%~69%)、嚴重狹窄(>70%);TET結果分為暘性和陰性,併計算DUKE積分,記錄隨訪1.52~3.31年的主要心血管事件(MACE)。結果記錄到39次MACE,髮生率為2.74%,冠狀動脈CTA能有助于危險分層,TET結閤冠狀動脈CTA與單獨冠狀動脈CTA比較併不能提高危險分層(P>0.05)。CTA中度和重度狹窄者、TET暘性對預測MACE有價值,HR分彆為2.60(95%CI 1.31~5.22,P<0.01)和2.35(95%CI 1.22~4.83,P<0.05)。結論 TET暘性對冠狀動脈CTA中、重度狹窄者有預後預測價值。
목적:탐토운동평판시험(TET)결합다배라선CT혈관조영(CTA)대관상동맥병변예후적예측개치。방법회고성분석595례행관상동맥CTA화TET검사적의사관심병환자적자료。관상동맥CTA분위정상、경도협착(<40%)、중도협착(40%~69%)、엄중협착(>70%);TET결과분위양성화음성,병계산DUKE적분,기록수방1.52~3.31년적주요심혈관사건(MACE)。결과기록도39차MACE,발생솔위2.74%,관상동맥CTA능유조우위험분층,TET결합관상동맥CTA여단독관상동맥CTA비교병불능제고위험분층(P>0.05)。CTA중도화중도협착자、TET양성대예측MACE유개치,HR분별위2.60(95%CI 1.31~5.22,P<0.01)화2.35(95%CI 1.22~4.83,P<0.05)。결론 TET양성대관상동맥CTA중、중도협착자유예후예측개치。
Objective To evaluate the value of multidetector coronary computed tomography angiography(CTA) combined with treadmil exercise test (TET) in predicting prognosis of coronary artery lesion. Methods The data of 595 patients with suspected coronary artery disease underwent both coronary CTA and TET were analyzed retrospectively. Coronary CTA results were classified to normal, mild stenosis(<40%of luminal stenosis), moderate stenosis(40%to 69%), and severe stenosis (>70%). TET results were categorized as positive and negative. Duke TET score was calculated. Major adverse cardiac events (MACE) during fol ow- up 1.52 to 3.31 years were recorded. Results 39 MACE were observed and 3- year cumulative event rate was 2.74%. Coronary CTA improved risk stratification. TET combined with coronary CTA was not superior to coronary CTA alone in risk categorization. In patients with moderate and severe coronary stenosis on coronary CTA, positive TET predicted MACE with HR 2.6 (95%CI:1.31~5.22, P<0.01) and HR 2.35( 95%CI:1.22~4.83, P<0.05), respectively. Conclusion Positive TET is predictive for prognosis in patients with moderate to severe stenosis on coronary CTA.