Head and Neck Imaging

Coronary CTA in the Hypertrophic Heart Disease Patients with Angina Pectoris in Application Value

Author:WU Hong-hu, WANG Da-wei.

affiliation:City, Hebei Province People's Hospital of the Medical Department

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Abstract

Objective To assessment of patients with HCM and stable anginal symptoms incidence of epicardial coronary artery. Methods Retrospective analysis 2011.6-2014.6 55 hypertrophic cardiomyopathy patientsAge-and gender-matched patients without HCM referred for CCTA because of similar symptoms over a 6-month period were used as controls. The coronary arteries were evaluated independently by 2 blinded observers, and any luminal narrowing was scored quantitatively as follows:>70% severe; 50%- 70% moderate; <50% mild; and none. Results the incidence of moderate or severe coronaryartery stenosis was significantly lower in patients with HCM compared to the control group (P<0.0001). Also,severe stenosis alone was significantly lower in the HCM group compared to controls (P<0.0001). the incidence of moderate or severe LAD stenosis was significantlylower in the HCM patients than in the controls (P<0.002). Conclusion CCTA should be considered as a first-line investigation for HCM patients with stable anginal symptoms in epicardial coronary artery stenosis

【Keyword】Hypertrophic Cardiomyopathy; Angiography; Coronary Artery Stenosis

【Chart number】R445.3;R542.2

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2016.02.021