The Role of Coronary CT Angiography in the Management of Patients with Coronary Atherosclerotic Diseas

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL
A. S. Capisizu, D. Cuzino, S. Stanciu
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引用次数: 0

Abstract

"Coronary CT angiography is a non-invasive method of analyzing the coronary lumen through which the atheromatous bur-den can be evaluated, with the analysis of the type of plaque (soft, calcified, mixed) and the impact on the arterial lumen (stenosis, occlusion). The anatomical evaluation by coronary CT is indicated in symptomatic patients with low and medium risk factors for coronary atherosclerotic disease, in those with inconclusive laboratory and EKG results, patients with un-certain stress test results, in the evaluation of coronary grafts and intrastent stenoses. Depending on the result of the angiography, the severity of the stenosis and the management of the patient are established. In the case of mild and medium stenoses, risk factors management and drug treatment are recommended. For severe stenoses, patients are referred for interventional coronary angiography or functional evaluation. Coronary CT angiography increases the certainty of coronary atherosclerotic disease diagnosis. It has a superior discriminative capacity of plaques with low attenuation, the main predictor of myocardial infarction, with almost five-fold higher risk. Coronary CT angiography increases the adaptation of medication, and the inclusion of statin therapy decreases the risk of fatal and nonfatal myocardial infarction at 5 years and increases the quality of life "
冠状动脉CT血管造影在冠状动脉粥样硬化性疾病治疗中的作用
冠状动脉CT血管造影是一种非侵入性的分析冠状动脉管腔的方法,通过分析斑块的类型(软质、钙化、混合性)和对动脉管腔的影响(狭窄、闭塞),可以评估动脉粥样硬化的负担。冠状动脉CT解剖评价适用于有症状且有冠状动脉粥样硬化性疾病中低危险因素的患者、实验室和心电图结果不确定的患者、压力试验结果不确定的患者、冠状动脉移植物和血管内狭窄的评价。根据血管造影的结果,确定狭窄的严重程度和患者的治疗方法。在轻度和中度狭窄的情况下,建议进行危险因素管理和药物治疗。对于严重的狭窄,患者需要进行介入冠状动脉造影或功能评估。冠状动脉CT血管造影提高冠状动脉粥样硬化疾病诊断的确定性。它对低衰减斑块(心肌梗死的主要预测因子)具有优越的鉴别能力,其风险几乎高出5倍。冠状动脉CT血管造影增加了药物的适应性,纳入他汀类药物治疗可降低5年致死性和非致死性心肌梗死的风险,提高生活质量。”
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Romanian Journal of Military Medicine
Romanian Journal of Military Medicine MEDICINE, GENERAL & INTERNAL-
自引率
33.30%
发文量
2
审稿时长
12 weeks
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