与时间赛跑:冠状动脉计算机断层扫描血管造影术发现 49 岁老人在 STEMI 发生前出现高度炎症斑块

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
B. Mátyás, E. Blîndu, N. Raț, I. Kovács, C. Buicu, T. Benedek
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引用次数: 0

摘要

在冠状动脉疾病(CAD)的现代管理中,心脏计算机断层血管造影(CCTA)已经成为一种关键的诊断工具,提供冠状动脉管腔和动脉粥样硬化斑块的详细可视化。我们报告了一名49岁的女性,没有心血管病史,但有几个危险因素,CCTA发现了一个高度发炎的动脉粥样硬化斑块,这立即导致急性心肌梗死。值得注意的是,该病例强调了CCTA中血管周围炎症映射的重要作用,这对于识别高风险斑块至关重要。该病例强调了在CAD的评估和管理中采用全面、多方面的诊断方法的必要性,并结合血管周围炎症映射等先进技术,以获得更准确和预测性的评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Race Against Time: Coronary Computed Tomography Angiography Discovers a Highly Inflamed Plaque in 49-Year-Old Right Before STEMI
Abstract In the modern management of coronary artery disease (CAD), cardiac computed tomography angiography (CCTA) has emerged as a pivotal diagnostic tool, offering detailed visualization of coronary artery lumens and atherosclerotic plaques. We present the case of a 49-year-old woman, with no prior cardiovascular history but with several risk factors, in whom CCTA identified a highly inflamed atherosclerotic plaque, which led immediately to an acute myocardial infarction. Significantly, this case spotlights the vital role of perivascular inflammation mapping in CCTA, crucial for identifying high-risk plaques. The case emphasizes the necessity for a comprehensive, multifaceted diagnostic approach in the evaluation and management of CAD, incorporating advanced techniques like perivascular inflammation mapping for a more accurate and predictive assessment.
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