基于冠状动脉造影计算的微循环阻力指数在不同类型冠心病中的临床应用进展  

Clinical Application of Coronary Angiography-Based Index of Microcirculatory Resistance in Various Types of Coronary Heart Disease

作　　者：李新健 王贵松[1] LI Xinjian;WANG Guisong(Department of Cardiology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院心血管内科,北京100191

出　　处：《心血管病学进展》2024年第9期778-781,共4页Advances in Cardiovascular Diseases

摘　　要：冠状动脉微循环在心肌血流灌注调节中发挥关键作用,微循环阻力指数是评价微血管功能的金标准。随着计算流体力学技术的发展,基于冠状动脉造影计算的微循环阻力指数受到越来越多的关注,这种方法无需使用压力导丝和血管扩张剂,并且与基于压力导丝的微循环阻力指数有较好的诊断一致性。目前已在心肌梗死、慢性冠脉综合征和非阻塞性冠状动脉疾病中得到应用。现对基于冠状动脉造影计算的微循环阻力指数在不同类型冠心病中的临床应用价值进行综述。The coronary microcirculation plays a crucial role in the regulation of myocardial perfusion,and the index of microcirculatory resistance is the gold standard for assessing microcirculation function.With the development of computational fluid dynamics,the coronary angiography-based index of microcirculatory resistance has received increasing attention.This method does not require the use of pressure wires or hyperemic agents,and it has good diagnostic consistency with wire-based index of microcirculatory resistance.It has been applied in myocardial infarction,chronic coronary syndrome and non-obstructive coronary artery disease.This article reviews the clinical application of coronary angiography-based microcirculatory resistance index in various types of coronary heart disease.

关 键 词：冠状动脉微循环障碍 微循环阻力指数 基于冠状动脉造影的微循环阻力指数 

分 类 号：R541.4[医药卫生—心血管疾病]