Reply: High-risk plaque detected on coronary CT angiography predicts acute coronary syndrome.
Reply: High-risk plaque detected on coronary CT angiography predicts acute coronary syndrome.
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答：冠状动脉CT血管造影检测到高危斑块可预测急性冠状动脉综合征。
DOI：
10.1016/j.jacc.2014.11.051
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发表时间：
2015
影响因子：
24
通讯作者：
Hoffmann,Udo
中科院分区：
文献类型：
--
作者：
Ferencik,Maros;Puchner,StefanB;Hoffmann,Udo
我们感谢Wong博士对我们论文的兴趣（1）。急性冠状动脉综合征（ACS）患者中，32例（86.5%）行有创冠状动脉造影。37例患者中有26例（70.3%）进行了冠状动脉血运重建。无心血管死亡，5例患者在索引住院期间诊断为急性心肌梗死。这些事件的数量不足以评估高危斑块特征对心血管硬结局的预测价值，我们同意Wong博士的观点，即高危斑块特征预测长期心血管结局的能力在急性胸痛患者中非常重要。在ROMICAT II（使用计算机辅助断层扫描II排除心肌梗死/缺血）试验中，研究设计不包括超过28天的随访。因此，我们无法研究长期结果。
We thank Dr. Wong for his interest in our paper (1). Among patients with acute coronary syndrome (ACS), 32 of 37 (86.5%) patients underwent invasive coronary angiography. Coronary revascularization was performed in 26 of 37 (70.3%) patients. There were no cardiovascular deaths, and 5 patients were diagnosed with acute myocardial infarction during the index hospitalization. These numbers of events were insufficient to evaluate the predictive value of high-risk plaque features for hard cardiovascular outcomes.We agree with Dr. Wong that the ability of high-risk plaque features to predict long-term cardiovascular outcomes is of great interest in acute chest pain patients. In the ROMICAT II (Rule Out Myocardial Infarction/Ischemia Using Computer Assisted Tomography II) trial, the design of the study did not include follow-up beyond 28 days. Therefore, we were unable to study long-term outcomes.