《64排螺旋CT在冠心病诊断上的应用》.ppt

64排螺旋CT在冠心病诊断上的应用 张雅君 主任医师 ST.MICHAEL HOSPITAL 如何控制心脏病的发生 如何预防冠心病的发生 如何了解自己是否患有冠心病 患有冠心病如何治疗 健康活到100岁 Topics Risk Factors of Heart Disease Latest Findings in Reducing Heart Disease Latest Advances in Medical Technology in Preventing Heart Disease Conclusion 心肌梗塞 64排CT适应人群 男性年龄大于40岁，女性年龄大于45岁 平时有胸闷，心悸，胸痛而心电图检查正常或者体检提示有心肌缺血的病人。 有肥胖症、高血压、高血脂、糖尿病的病人，应了解冠脉血管受损情况。 有冠心病家族史、平时性格过于孤癖、长期心理压力较大的人 已确诊冠心病的病人，治疗效果不佳，应进行64排螺旋CT检查详细了解冠脉病变。为下一步治疗提供依据。 冠状动脉支架术或搭桥术的病人随访，了解再狭窄的情况。 Coronary Artery DiseaseComparison between MDCT and Coronary Angiography a A a b b b Lumen Plaque Plaque “Normal Angiogram” by ICA Plaques detected by CTA but are “invisible” in ICA 多功能电脑断层扫描仪——精确度有多少？ 在影像分析方面的经验决定着CT扫描的准确程度 资深的放射学医师通过对影像数据透彻的分析可使准确度提高 我们中心能够提供98-99%的精确度 四维立体冠状动脉CT血管造影术- 适合哪类人群？ 患有多种慢性病的人群 有严重家族史的人群 有患心脏中风疾病风险的中年人群 心脏影像 心脏影像 多功能CT扫描的优势 无创伤性 简单快速的检查程序 门诊检查，无需住院 清晰的心脏血管影像 四维立体影像 精确到以毫米计算 较少的辐射 无需开刀 Common Risk Factors 常见病因 Extensive clinical and statistical studies have identified several factors that increase the risk of stroke. Most of them can be modified, treated or controlled. Some can’t.? How Cardiovascular Stroke Risks Are Related:心脏病和中风为什么是相关联的 Both coronary heart disease and stroke share many of the same risk factors such as cholesterol disorders, high blood pressure, smoking, diabetes, physical inactivity, and being overweight or obese. 结论 尽早的检查及诊断可挽救生命 血管斑块会从年轻时已经开始逐渐形成，所以更需要尽早检查 即使您有血管狭窄的问题存在，及早治疗仍可以降低您患上心脏疾病的风险 * * * * * Key Point: As new evidence has emerged, the guidelines for treating elevated cholesterol have evolved to become more intensive. Additional Background Information: Patients at high risk are those with established atherosclerotic vascular disease. A recent update to the American Heart Association/American College of Cardiology (AHA/ACC) guidelines for secondary prevention further supports the intensive reduction of LDL-C in patients with CHD and othe