Utilizing the coronary artery calcium score to predict coronary artery disease in individuals with presumed cardiac symptoms: A diagnostic study

利用冠状动脉钙化评分预测有疑似心脏症状个体中的冠心病：诊断研究

📚 期刊: American Heart Journal Plus 📅 发表: 2026-03-07 🔬 PMID: 41853616 🔗 DOI: 10.1016/j.ahjo.2026.100745 👁️ 浏览: 36

👤 作者: Mohammad Dindari, Mohammad Jalal Mehdizadeh Parizi, Roya Golchin Vafa, Reza Heydarzadeh, Hadis Zarifkar, Hadis Zarifkar, Hadis Zarifkar, Nazanin Hosseini, Majid Montaseri, Jamshid Kojuri

冠心病

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Mohammad Dindari, Mohammad Jalal Mehdizadeh Parizi, Roya Golchin Vafa, Reza Heydarzadeh, Hadis Zarifkar, Hadis Zarifkar, Hadis Zarifkar, Nazanin Hosseini, Majid Montaseri, Jamshid Kojuri (2026). Utilizing the coronary artery calcium score to predict coronary artery disease in individuals with presumed cardiac symptoms: A diagnostic study. American Heart Journal Plus. https://doi.org/10.1016/j.ahjo.2026.100745

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冠心病（CAD）仍然是全球死亡的主要原因，冠状动脉钙化（CAC）作为动脉粥样硬化的标志物已被广泛认识。虽然CAC评分是评估心血管风险的既定无创工具，但其在有疑似心脏症状的个体中预测冠心病的诊断价值仍需进一步评估。本研究旨在探讨CAC评分在预测有疑似心脏症状个体中冠心病方面的诊断性能。研究纳入了因疑似心脏症状转诊进行非对比计算机断层扫描的患者，所有患者随后接受了有创冠状动脉造影作为参考标准。分析了CAC评分与冠状动脉造影发现的冠心病严重程度之间的相关性。结果显示，CAC评分与冠心病显著相关，CAC评分为零的患者中阻塞性冠心病的患病率极低，而高CAC评分对阻塞性冠心病的阳性预测值较高。CAC评分可作为有效的分诊工具，帮助临床决策是否需要进行有创的冠状动脉造影检查。研究结果支持在疑似心脏病患者中扩大CAC评分的应用。

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Utilizing the coronary artery calcium score to predict coronary artery disease in individuals with presumed cardiac symptoms: A diagnostic study

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