2018年国际心血管CT协会关于女性冠状动脉CT血管成像专家共识的解读

Interpretation of 2018 Society of Cardiovascular Computed Tomography expert consensus on coronary artery CT angiography in women

摘要:

这份专家共识来自国际心血管CT协会（Society of Cardiovascular Computed Tomography，SCCT），提供了关于女性冠状动脉疾病的CT诊断和风险分层的依据。在无心血管疾病症状的女性群体中，一旦发现冠状动脉有钙化，将预示着10年内发生动脉粥样硬化性心血管疾病的风险大于7.5%，通过冠状动脉钙化程度可以判断哪些女性采用药物治疗更加有效。CT血管成像（CT angiography，CTA）不但可以准确检测阻塞性冠状动脉疾病（coronary artery disease，CAD），还可以识别非阻塞性动脉粥样硬化斑块的范围及成分。

Abstract:

This expert consensus comes from the international society of cardiovascular CT（SCCT），which provides the basis for CT diagnosis and risk stratification of coronary artery disease in women. Among women without cardiovascular disease symptoms，coronary artery calcification was associated with a greater than 7.5% risk of atherosclerotic cardiovascular disease within 10 years. CT angiog－raphy（CTA） can not only accurately detect obstructive coronary artery disease（CAD），but also identify the scope and composition of non-obstructive atherosclerotic plaque.