[基金项目]北京大学人民医院研究与发展基金(RDJ２０２２Ｇ３５).[第一作者]刘晓怡(１９８６—),女,云南普洱人,博士,主治医师.研究方向:心血管影像学.EＧmail:liu_xiaoyi＠bjmu．edu．cn[通信作者]王屹,北京大学人民医院放射科,１０００４４.EＧmail:wang_yi＠bjmu．edu．cn[收稿日期]２０２３Ｇ０３Ｇ２３[修回日期]２０２３Ｇ０５Ｇ１９心脏、血管影像学PericoronaryadiposetissueparameterscombinedwithclinicalindicatorsforpredictingmajoradversecardiovasculareventsofacutecoronarysyndromeLIUXiaoyi,SUNChao,CHENGJin,QIWeiwei,HONGNan,WANGYi∗(DepartmentofRadiology,PekingUniversityPeople＇sHospital,Beijing１０００４４,China)[Abstract]ObjectiveToexplorethepredictivevalueofpericoronaryadiposetissue(PCAT)fatattenuationindex(FAI)combinedwithclinicalindicatorsforpredictingmajoradversecardiovascularevents(MACE)inpatientswithacutecoronarysyndrome(ACS)．MethodsDataof１８６patientswithinitialdiagnosedACSwereretrospectivelyanalyzed．ThepatientsweredividedintoMACEgroupornonＧMACEgroupaccordingtotheoccurrenceofMACEornotduringfollowingＧup．Univariateanalysisandmultivariatelogisticregressionanalysiswereusedtoanalyzeclinicaldata,laboratoryindicators,aswellasstenosisdegree,plaquenature,thevolumeandFAIofPCATofleftanteriordescendingartery(LAD),leftcircumflexartery(LCX)andrightcoronaryartery(RCA)showedoncoronaryCTangiography(CCTA),andtheindependentpredictivefactorsforMACEinpatientswithACSwerescreened．Receiveroperatingcharacteristic(ROC)curvesweredrawn,andareasunderthecurve(AUC)werecalculatedtoevaluatethepredictiveefficacyofindependentpredictivefactorsindividuallyandincombination．ResultsTherewere３５casesinMACEgroupand１５１casesinnonＧMACEgroup,respectively．RCAＧFAI(OR＝０１２７)andhighdensitylipoproteincholesterol(HDL)(OR＝１０９８)werebothindependentpredictivefactorsforMACEinpatientswithACS(bothP＜００５)．AUCofRCAＧFAIforpredictingoccurrenceofMACEinpatientswithACSwas０６７１,ofHDLwas０３７１,whileoftheircombinationwas０７０９．ConclusionRCAＧFAIcombinedwithHDLcouldpredictoccurrenceofMACEinpatien...
