Evaluation of Coronary Artery Remodeling in Patients With Acute Coronary Syndrome and Stable Angina by Multislice Computed Tomography
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概要
- 論文の詳細を見る
Background Multislice computed tomography (MSCT) was used to evaluate coronary artery remodeling in patients with acute coronary syndrome (ACS) and stable angina (SA). Methods and Results MSCT was performed in 31 patients with ACS and 26 patients with SA and intravascular ultrasound (IVUS) was performed in 28 of these 57 patients. In both the MSCT and IVUS analyses, coronary artery remodeling was assessed by the remodeling index (RI): RI>1.10 was defined as positive coronary artery remodeling (PCAR) and RI<0.95 was defined as negative coronary artery remodeling (NCAR). The RI assessed by MSCT closely correlated with that of IVUS (r=0.86, n=28). The vessel area at the region of maximum luminal narrowing was also comparable between the MSCT and IVUS measurements (r=0.92). PCAR was present in 19 patients (61.3%) with ACS, but in none of the patients with SA (p<0.0001). However, NCAR was pres-ent in only 1 patient with ACS (3.2%), but was present in 18 patients (62.9%) with SA. The RI was significantly larger in patients with ACS (1.19±0.18) than in those with SA (0.89±0.10, p<0.0001). Conclusion MSCT accurately assesses coronary artery remodeling.
- 社団法人日本循環器学会の論文
- 2004-10-20
著者
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Matsumoto Naoya
Division of Cardiology, Department of Medicine, Nihon University School of Medicine
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Takayama Tadateru
Division of cardiology, Department of Medicine, Nihon University school of Medicine
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SATO Yuichi
Division of Integrative Health Medicine, Department of Medicine, Nihon University School of Medicine
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Inoue Fumio
Division of Cardiovascular Medicine, Nihon University School of Medicine
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Uchiyama Takahisa
Division of Cardiovascular Medicine, Nihon University School of Medicine
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Takayama Tadateru
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Matsumoto Naoya
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Tani Shigemasa
Department Of Cardiology Nihon University Surugadai Hospital
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Tani Shigemasa
Division of Cardiovascular Medicine, Surugadai Nihon University Hospital
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Anazawa Takeo
Division of Cardiovascular Medicine, Surugadai Nihon University Hospital
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Inoue Fumio
Division Of Cardiovascular Medicine Nihon University School Of Medicine
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Uchiyama Takahisa
Division Of Cardiovascular Medicine Nihon University School Of Medicine
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Uchiyama Takahisa
Division Of Cardiovascular Medicine Department Of Medicine Nihon University School Of Medicine
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Tani Shigemasa
Department Of Cardiology Nihon University School Of Medicine
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Imazeki Takako
Departments Of Cardiology Nihon University Surugadai Hospital
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Uchiyama Takashi
Department Of Cardiology Nihon University Nerimahikarigaoka Hospital
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Tani Shigemasa
Department Of Cardiology Nihon University School Of Medicine Tokyo
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Imazeki Takako
Divisions of Cardiology, Nihon University School of Medicine
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Saito Satoshi
Genomic Epidemiology and Clinical Trials, Advanced Medical Research Center, Nihon University Schoolo
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Anazawa Takeo
Department Of Cardiology Nihon University School Of Medicine
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Takayama Tadateru
Divisions Of Cardiology Nihon University School Of Medicine
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Sato Yoshiyuki
Department Of Cardiology Nihon Univeristy School Of Medicine
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Takayama Tadateru
Department Of Cardiology Nihon University School Of Medicine Tokyo
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Sato Yuichi
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Uchiyama Takahisa
Dept. Of Cardiology Nerima Hikarigaoka Nihon University Hospital
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Uchiyama Takahisa
Division Of Cardiology Surugadai Nihon Univ. Hospital
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Matumoto Naoya
Department Of Cardiology Nihon University School Of Medicine
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Inoue Fumio
Department Of Cardiology Nihon University School Of Medicine
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