Correlation of coronary calcification and angiographically documented stenoses in patients with suspected coronary artery disease:: Results of 1,764 patients

Correlation of coronary calcification and angiographically documented stenoses in patients with suspected coronary artery disease:: Results of 1,764 patients
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DOI:
10.1016/s0735-1097(00)01119-0
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发表时间:
2001-02-01
影响因子:
24
通讯作者:
Steinbeck, G
Steinbeck, G
中科院分区:
医学1区
文献类型:
--
作者:
Haberl, R;Becker, A;Steinbeck, G

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目的探讨电子束CT(Electron beam computed tomography,EBCT)钙化积分与冠状动脉造影(coronary angiography,CAG)结果的相关性,以评价EBCT钙化积分对预测或排除冠心病(coronary artery disease,CAD)的价值。然而,目前还不清楚它是否可以发挥作用,作为一个过滤器侵入性程序在有症状的patients.Methods从一个单一的中心,共1,764例(1,225名男性和539名女性)疑似CAD被纳入我们的研究。结果五十六%的男性和47%的女性显示明显的冠状动脉狭窄(≥ 50%)。完全排除冠状动脉钙化(研究组的14%)与极低的狭窄概率相关(
Objectives This study correlated the electron beam computed tomographic (EBCT) calcium scores with the results of coronary angiography in symptomatic patients in order to assess its value to predict or exclude significant coronary artery disease (CAD).Background Electron beam computed tomography is a sensitive method to detect coronary calcium. However, it is unclear whether it may play a role as a filter before invasive procedures in symptomatic patients.Methods A total of 1,764 patients (1,225 men and 539 women) with suspected CAD from a single center were included in our study. All patients underwent calcium screening with EBCT (C150XP Imatron) and conventional coronary angiography.Results Fifty-six percent of men and 47% of women revealed significant coronary stenoses (greater than or equal to 50%). Total exclusion of coronary calcium (14% of the study group) was associated with an extremely low probability of stenosis (