Đặc điểm lâm sàng, hình ảnh học của cắt lớp vi tính 160 lát cắt ở bệnh nhân bệnh động mạch vành mạn tại An Giang từ năm 2022 đến năm 2023=Clinical characteristics and imaging findings of computed tomography angiography in 160 slice layers of coronary artery disease patients in An Giang from 2022 to 2023

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Minh Phú Huỳnh, Tấn Đạt Lê

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y dược học Cần Thơ, 2024

Mô tả vật lý: tr.19-25

Bộ sưu tập: Metadata

ID: 244834

Thêm vào giỏ

Bệnh lý mạch vành là nguyên nhân chính gây thiếu máu, nhồi máu cơ tim. Việc tầm soát, phát hiện sớm bệnh lý động mạch vành và can thiệp kịp thời giúp cải thiện chất lượng cuộc sống ở những bệnh nhân có nguy cơ thiếu máu, nhồi máu cơ tim, đồng thời giúp giảm tỷ lệ tử vong. Mục tiêu nghiên cứu: Khảo sát đặc điểm lâm sàng, hình ảnh học cắt lớp vi tính 160 lát của bệnh động mạch vành mạn tại Bệnh viện Đa khoa Trung Tâm An Giang năm 2022 đến năm 2023. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 157 bệnh nhân có bệnh động mạch vành mạn được khám và điều trị tại Bệnh viện Đa khoa Trung tâm An Giang từ tháng 2 năm 2022 đến tháng 5 năm 2023. Bệnh nhân được chẩn đoán hẹp động mạch vành thông qua hình ảnh học cát lớp vi tính 160 lát cắt và được đánh giá lại thông qua hình ảnh chụp mạch vành xuyên qua da. Kết quả: Về đặc điểm lâm sàng, tỷ lệ bệnh nhân có triệu chứng đau thắt ngực, tiền sử tăng huyết áp, đái tháo đường lần lượt là 77,1%, 66,2% và 28,7%. Có 27,4% bệnh nhân có thói quen uống rượu và 27,4% hút thuốc lá. Tỷ lệ bệnh nhân có nhịp tim ≥70 lần/phút trước chụp cắt lớp vi tính là 5,7%. Về đặc điểm hình thái học, tỷ lệ bệnh nhân có điểm vôi hóa mạch vành theo Agatston là 0, 1-99 và 100-399 lần lượt là 23,3%, 21,2% và 55,5%. Số nhánh mạch vành hẹp là 326 nhánh trên 157 bệnh nhân. Trong đó, 30,1% hẹp nhánh RCA, 7,7% hẹp nhánh LM, 39,2% hẹp nhánh LAD và 23% hẹp nhánh LCX. Kết luận: Đặc điểm lâm sàng phổ biến nhất ở bệnh nhân đến khám và điều trị tại Bệnh viện Đa khoa Trung tâm An Giang là đau thắt ngực. Tổn thương động mạch vành thường gặp nhất ở nhánh LAD chiếm 39,2%. Mức độ hẹp động mạch vành ≥50% là trên 80%.Coronary artery disease is the leading cause of myocardial ischemia and heart attack. Screening, early detection of coronary artery disease, and timely intervention help improve the quality of life in the patients at risk of myocardial ischemia, heart attack, and could reduce mortality rates. Objective: To investigate the clinical characteristics and imaging findings of coronary artery disease patients using 160-detector row computed tomography (CT) scanner at An Giang Central General Hospital from 2022 to 2023. Materials and methods: A cross-sectional descriptive study was conducted on 157 patients with coronary artery diseases who were examined and treated at An Giang Central General Hospital from February 2022 to May 2023. The patients were diagnosed with coronary artery stenosis using 160 detector row computed tomography angiography and the findings were reassessed using angiographic images of coronary arteries taken percutaneously. Results: In terms of clinical characteristics, the percentages of patients with chest pain symptoms, hypertension history, and diabetes were 77.1%, 66.2%, and 28.7%, respectively. 27.4% of patients had a habit of alcohol consumption, and 27.4% were smokers. The percentage of the patients with a heart rate ≥70 beats per minute before computed tomography was 5.7%. In terms of morphological characteristics, the percentages of the patients with Agatston coronary artery calcification scores of 0, 1-99, and 100-399 were 23.3%, 21.2%, and 55.5%, respectively. The number of narrowed coronary artery branches was 326 branches in 157 patients. Among them, 30.1% had righ coronary artery (RCA) stenosis 7.7% had left main (LM) stenosis, 39.2% had left anterior descending (LAD) stenosis, and 23% had left circumflex (LCX) stenosis. The percentage of patients with coronary artery stenosis ≥50% was 84.1% and ≥70% was 72.6%. Conclusion: The most common clinical characteristic in patients who come for examination and treatment at An Giang Central General Hospital was chest pain. The most frequently affected coronary artery branch was the left anterior descending (LAD) artery, accounting for 39.2%. The proportion of coronary artery stenosis ≥50% were above 80%.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR