Short-term prognosis of mild coronary stenosis diagnosed by coronary computerized tomography in patients with acute chest pain
TIAN Hong-sen
YAO Gen-dong
ZHAO Meng-hua
XU Bao-yuan
ZHANG Kai
LIU Jin-jun
SHI Jian-ping
SHEN Yu-jue
HUO Yan-fei
Abstract：Objective To investigate the short-term prognosis of mild coronary stenosis (25%-50%) diagnosed by coronary computerized tomography (CT) in the patients with acute chest pain, and determine if they need further diagnostic examinations. Methods The patients (n=215) with lower risk TIMI scores and mild coronary stenosis diagnosed by coronary CT were chosen from Handan Central Hospital from Mar. 2008 to Feb. 2012. The necessity of further diagnostic examinations was determined through observing the incidence of major adverse cardiovascular events (MACE) within 30 days including myocardial infarction, unstable angina, coronary revascularization and cardiovascular death. Results During 30-dya follow-up period, there was only one patients (0.5%) with MACE (95%CI:0%~2.6%), who had positive results of cardiac troponin T reexamined for three times during hospitalization. No patients experienced cardiovascular death or required coronary revascularization. Conclusion The possibility of short-term onset of MACE is very low in the patients with mild coronary stenosis diagnosed by coronary CT. Although the examination of serial biomarkers will be beneficial for these patients, further diagnostic tests are not necessary.
Keywords：Acute coronary syndromeCoronary computerized tomographyChest painPrognosis
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 483-484 )