Role of computed tomographic dynamic myocardial perfusion in the diagnosis of functional significance of coronary artery stenosis
- 作者: Dmitrieva D.S.1, Filatova D.A.1, Pavlikova E.P.1, Krasnova T.N.1, Mershina E.A.1, Lisitskaya M.V.1, Trukhanova M.A.1, Seredenina E.M.1, Vaypan D.V.1, Polyakov R.S.1, Vartanyan E.L.1, Sinitsyn V.E.1
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隶属关系:
- M.V. Lomonosov Moscow State University
- 期: 卷 10, 编号 6 (2024)
- 页面: 112-121
- 栏目: CLINICAL CASES
- URL: https://journals.eco-vector.com/2412-4036/article/view/636378
- DOI: https://doi.org/10.18565/therapy.2024.6.112-121
- ID: 636378
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详细
The presented clinical case demonstrates the use of computed tomographic (CT) angiography for assessment of myocardial perfusion in a comorbid patient with coronary heart disease. According to non-invasive tests data, the patient had borderline stenosis (70%) in the right coronary artery. Estimation the functional significance of stenosis in this case was complicated, because due to comorbidity, in particular the presence of chronic obstructive pulmonary disease (COPD), patient experienced difficulties in performing standard stress tests; in addition, their results were not informative, since shortness of breath could be not only the equivalent of ischemia, but also a manifestation of COPD. Methodic of cardiac CT with pharmacological stress myocardial perfusion assessment made it possible to verify myocardial ischemia, and its results were comparable to the data of invasive coronary angiography. Article discusses the prospects for using CT coronary angiography with myocardial perfusion assessment in clinical practice.
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作者简介
Daria Dmitrieva
M.V. Lomonosov Moscow State University
编辑信件的主要联系方式.
Email: Sergeevna_D9@mail.ru
ORCID iD: 0009-0002-0748-0273
MD, 2nd year resident doctor of the Department of internal medicine of Medical Research and Educational Center
俄罗斯联邦, MoscowDaria Filatova
M.V. Lomonosov Moscow State University
Email: dariafilatova.msu@mail.ru
ORCID iD: 0000-0002-0894-1994
MD, postgraduate student of the Department of radiation diagnostics and therapy, radiologist at the Department of X-ray diagnostics with MRI and CT rooms of Research and Educational Center
俄罗斯联邦, MoscowElena Pavlikova
M.V. Lomonosov Moscow State University
Email: elena.pavlikova@inbox.ru
ORCID iD: 0000-0001-7693-5281
MD, Dr. Sci (Medicine), professor of the Department of internal medicine of the Faculty of fundamental medicine, deputy director for clinical work, chief physician of the Medical Research and Educational Center
俄罗斯联邦, MoscowTatyana Krasnova
M.V. Lomonosov Moscow State University
Email: krasnovamgu@yandex.ru
ORCID iD: 0000-0001-6175-1076
MD, PhD (Medicine), head of the Department of internal diseases of the Faculty of fundamental medicine, leading researcher at the Department of internal diseases of the Medical Research and Educational Center
俄罗斯联邦, MoscowElena Mershina
M.V. Lomonosov Moscow State University
Email: elena_mershina@mail.ru
ORCID iD: 0000-0002-1266-4926
MD, PhD (Medicine), associate professor of the Department of radiation diagnostics and therapy, head of the Department of X-ray diagnostics with MRI and CT rooms at the Medical Research and Educational Center
俄罗斯联邦, MoscowMaria Lisitskaya
M.V. Lomonosov Moscow State University
Email: Sergeevna_D9@mail.ru
ORCID iD: 0000-0002-8402-7643
MD, PhD (Medicine), radiologist at the Department of X-ray diagnostics with MRI and CT rooms at the Medical Research and Educational Center
俄罗斯联邦, MoscowMaria Trukhanova
M.V. Lomonosov Moscow State University
Email: tryxanova@yandex.ru
ORCID iD: 0000-0002-9957-4906
MD, PhD (Medicine), anesthesiologist-resuscitator, researcher at the Department of internal medicine of the Medical Research and Educational Center
俄罗斯联邦, MoscowElena Seredenina
M.V. Lomonosov Moscow State University
Email: e.m.seredenina@gmail.com
ORCID iD: 0000-0002-1490-2078
MD, PhD (Medicine), head of the Department of therapy, senior researcher at the Department of age-associated diseases of the Medical Research and Educational Center
俄罗斯联邦, MoscowDaniil Vaypan
M.V. Lomonosov Moscow State University
Email: vdv_zao@mail.ru
MD, general practitioner, researcher at the Department of internal diseases of the Medical Research and Educational Center, assistant at the Department of internal medicine of the Faculty of fundamental medicine
俄罗斯联邦, MoscowRoman Polyakov
M.V. Lomonosov Moscow State University
Email: Roman.polyakov@gmail.com
ORCID iD: 0000-0002-9323-4003
MD, Dr. Sci. (Medicine), head of the Department of X-ray surgical methods of diagnostics and treatment of the Medical Research and Educational Center
俄罗斯联邦, MoscowErik Vartanyan
M.V. Lomonosov Moscow State University
Email: Sergeevna_D9@mail.ru
ORCID iD: 0000-0001-6757-7101
MD, PhD (Medicine), doctor for X-ray endovascular diagnostics and treatment of the Medical Research and Educational Center
俄罗斯联邦, MoscowValentin Sinitsyn
M.V. Lomonosov Moscow State University
Email: vsini@mail.ru
ORCID iD: 0000-0002-5649-2193
MD, Dr. Sci. (Medicine), professor, head of the Department of radiation diagnostics of the Medical Research and Educational Center, head of the Department of radiation diagnostics and therapy of the Faculty of fundamental medicine
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