【摘 要】
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Objective: To study the patients with maintenance hemodialysis(MHD)coronary artery calcium score(CACS)and cardiac MRI assessment of left ventricular ejection fraction(LEVE)、limitation of ventricular w
【机 构】
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West China Hospital,Sichuan University
【出 处】
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中华放射学学术大会2016、中华医学会第23次全国放射学学术大会暨中华医学会第24次全国影像技术学术大会
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Objective: To study the patients with maintenance hemodialysis(MHD)coronary artery calcium score(CACS)and cardiac MRI assessment of left ventricular ejection fraction(LEVE)、limitation of ventricular wall motion abnormalities(RWMAs)and peak filling rate(PFR)correlation.Methods:We analyzed data from 38 participants with MHD,accepting coronary artery calcification CT scans and MRI cardiac function examinations.Calculating coronary calcium score refer to the coronary artery calcification Agatston quantitative method,and assessing left ventricular ejection fraction(LEVF),limitation of ventricular wall motion abnormalities(RWMAs)and peak filling rate(PFR)of all patients.Consequence:(1)23 cases of 38 patients with MHD CACS is positive,3 cases with 0400.(2)The average left ventricular ejection fraction was(60.3+9.9)%,38 cases,1 case of left ventricular ejection fraction < 40%,5 cases of ventricular wall motion abnormalities have limitations,Higher CACS is associated with lower left ventricular ejection fraction(P < 0.05),a large proportion of participants with lower peak filling rate.(3)Factors such as age adjusted,high limited ventricular wall motion abnormalities and coronary artery calcification have significant correlation(P < 0.05),CACS > 400 limits the incidence of abnormal ventricular wall increased 2.1 times(95%CI:1.30~3.75,P<0.001).Conclusion: Application of coronary artery calcification score can be assessment of atherosclerosis in patients with MHD and limitations of ventricular wall motion abnormalities.Coronary artery calcium score has certain reference value of the occurrence and development of coronary events in patients with MHD.
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