冠状动脉CT血管造影预测冠心病患者发生左心室重构及远期心血管不良事件的价值  

Value of Coronary Artery CT Angiography in Predicting Left Ventricular Remodeling and Long-Term Cardiovascular Adverse Events in Patients with Coronary Heart Disease

作　　者：刘书婷[1] 查开继[1] 李培杰[1] 张永高[1] LIU Shuting;ZHA Kaiji;LI Peijie;ZHANG Yonggao(Department of Radiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院放射科,河南郑州450000

出　　处：《河南医学研究》2024年第6期1030-1034,共5页Henan Medical Research

摘　　要：目的分析冠状动脉CT血管造影预测冠心病患者发生左心室重构及远期心血管不良事件的价值。方法选取郑州大学第一附属医院2021年1月至2022年7月诊治的120例冠心病患者,随访1 a,根据左心室重构发生情况分为左心室重构组(26例)、无左心室重构组(94例),根据心血管不良事件发生情况分为发生组(24例)、未发生组(96例)。比较不同组别患者冠状动脉CT血管造影结果,分析冠状动脉CT血管造影预测冠心病患者发生左心室重构及远期心血管不良事件的价值。结果左心室重构组、无左心室重构组在冠状动脉管腔狭窄程度和高危斑块特征方面的差异有统计学意义(P<0.05)。发生组、未发生组斑块总体积、钙化斑块体积、非钙化斑块体积、病变长度、斑块负荷比较,差异有统计学意义(P<0.05)。受试者工作特征(ROC)曲线分析显示,冠状动脉CT血管造影在预测冠心病患者发生左心室重构及远期心血管不良事件中具有较高的价值。结论冠状动脉CT血管造影在预测冠心病患者发生左心室重构及远期心血管不良事件中具有较高的价值。Objective To analyze the value of coronary artery CT angiography in predicting left ventricular remodeling and long-term cardiovascular adverse events in patients with coronary heart disease.Methods A total of 120 patients with coronary heart disease diagnosed and treated in the First Affiliated Hospital of Zhengzhou University from January 2021 to July 2022 were selected and followed up for 1 year.They were divided into left ventricular remodeling group(26 cases)and non-left ventricular remodeling group(94 cases)based on the occurrence of left ventricular remodeling.According to the occurrence of cardiovascular adverse events,they were divided into occurrence group(24 cases)and non-occurrence group(96 cases).The results of coronary artery CT angiography in different groups of patients were compared,and the value of coronary artery CT angiography in predicting left ventricular remodeling and long-term cardiovascular adverse events in patients with coronary heart disease was analyzed.Results There were differences in the degree of coronary artery stenosis and high-risk plaque characteristics between the left ventricular remodeling group and the non-left ventricular remodeling group(P<0.05).There were significant differences in total plaque volume,calcified plaque volume,non-calcified plaque volume,lesion length and plaque load between the occurrence group and the non-occurrence group(P<0.05).The receiver operating characteristic(ROC)curve showed that coronary artery CT angiography had higher value in predicting left ventricular remodeling and long-term cardiovascular adverse events in patients with coronary heart disease.Conclusion Coronary artery CT angiography has higher value in predicting left ventricular remodeling and long-term cardiovascular adverse events in patients with coronary heart disease.

关 键 词：冠心病 冠状动脉CT血管造影 左心室重构 远期心血管不良事件 

分 类 号：R541.4[医药卫生—心血管疾病]