The correlation between peri-coronary fat attenuation index and different grades of hypertension based on coronary CT angiography
10.3969/j.issn.1002-1671.2024.01.010
- VernacularTitle:基于冠状动脉CT血管成像冠状动脉周围脂肪组织密度衰减指数与不同等级高血压的相关性研究
- Author:
Xia LI
1
;
Dan HAN
;
Xiaoying LIU
;
Jie JIANG
;
Zitong WANG
;
Xiaojie XIE
;
Hui DUAN
Author Information
1. 昆明医科大学第一附属医院医学影像科,云南 昆明 650032
- Keywords:
peri-coronary fat attenuation index;
hypertension;
computed tomography
- From:
Journal of Practical Radiology
2024;40(1):41-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective lo analyze the difference of peri-coronary tat attenuation index(pr Al)on different grades of hypertension(HT),and to explore the value of pFAI in evaluating the risk of HT patients.Methods Retrospective data on hospitalized patients who underwent coronary computed tomography angiography(CCTA)examination for chest pain were collected.A total of 415 clini-cally confirmed HT patients were selected as observation group(including 132 patients in grade 1 HT group,137 patients in grade 2 HT group,146 patients in grade 3 HT group),and 187 non-hypertension patients during the same period as control group.The differ-ence of fat attenuation index(FAI)in three main coronary arteries[left anterior descending artery(LAD),left circumflex artery(LCX),right coronary artery(RCA)]was compared,and the correlation between pF AI and HT patients was analyzed.Results RCA-FAI(-78.86 HU±7.66 HU)and LAD-FAI(-80.62 HU±7.50 HU)were higher in HT group than those in control group(-84.46 HU± 8.00 HU,-83.43 HU±7.51 HU,P＜0.05).pFAI value was higher in grade 3 HT group than that in grade 1 HT group and grade 2 HT group(P＜0.05),while there were no differences between grade 1 HT group and grade 2 HT group(P＞0.05).After adjusting the influence of traditional risk factors and coronaryartery disease,RCA-FAI had relatively closer relationship with HT grades(r=0.47,P＜0.001).Conclusion LAD-FAI,RCA-FAI in the HT group are higher than those in control group and RCA-FAI has relatively closer relationship with HT grades,suggesting that RCA-FAI may be an imaging indicator to evaluate the pro-gression of HT and predict the risk of HT.
