Objective To assess the diagnostic value of 3.0T magnetic resonance imaging (MRI) and ultrasonic cardiography in women with high altitude pulmonary arterial hypertension (PAH). Methods Seventy-six women with high altitude PAH treated at our hospital were divided into either an MRI group (group A) or an ultrasonic cardiography group (group B), with 38 cases in each group. Fifty healthy women from high altitude areas were enrolled as a control group (group C). Group A underwent MRI examination alone, Group B underwent ultrasonic cardiography examination alone, and Group C underwent concomitant MRI and ultrasonic cardiography examinations. Diagnosis accuracy and diagnostic results were compared among different groups. Results Compared with group B, diagnosis accuracy significantly rose in group A (P < 0.05). MRI showed that except right ventricular end diastolic transverse diameter,left atrial diameter, aortic diameter, and right ventricular end systolic transverse diameter, other indexes differed significantly between groups A and C (P < 0.05). Ultrasonic cardiography showed that the SPAP of group B was (44.5 ± 8.6) mmHg. Right ventricular outflow tract, pulmonary artery, right ventricular inner diameter, right atrial inner diameter, right ventricle anterior wall, interventricular septal thickness, right ventricular Tei index, and right ventricular ejection fraction differed significantly between groups B and C (P<0.05), although there was no significant difference in LVEF or LV-Tei between the two groups (P>0.05). Conclusion Both MRI and ultrasonic cardiography can diagnoses high altitude PAH in women effectively. MRI can accurately evaluate the heart structure and function in women with high altitude PAH, representing a more efficient diagnostic method.

Objective To analyze the differences of coronary artery anomalies between Han and Tibetan nationality living in middle and high altitude.Methods A total of 7 028 adults living in the Qinghai Plateau (1 800-7 720 m altitude),who underwent coronary CT angiography in Qinghai Cardiocerebro-vascular Disease Special Hospital between 2010 to 2015,were included in this study.There were 6 391 cases of the Han nationality and 637 cases of the Tibetan nationality.The differences of coronary artery anomalies between Han and Tibetan nationality were analyzed retrospectively.Results (1) Incidence of coronary artery anomalies was lower in Han nationality than in the Tibetan nationality (1.596％ (102/6 391) vs.4.239％ (27/637),P ＜0.001).(2) There was 64.7％ (66/102) male residents with coronary artery anomalies in Han nationality,and 74.1％ (20/27) male residents with coronary artery anomalies in Tibetan nationality (P =0.359).(3) Left side coronary artery anomalies in Han nationality was similar as in Tibetan nationality (64.4％ (67/104) vs.55.6％ (15/27),P =0.396).(4) Incidence of benign coronary artery anomalies was significantly lower in Han nationality than in Tibetan nationality (0.720％ (46/6 391) vs.2.200％ (14/637),P ＜ 0.001).Incidence of potentially dangerous coronary artery anomalies was also significantly lower in Han nationality than in Tibetan nationality (0.876％ (56/6 391) vs.2.041％ (13/637),P =0.004).(5)Ten kinds of coronary artery anomalies were found in this study.There were significant differences between Han and Tibetan nationality in left coronary artery originated from right coronary sinus(0.046％ (3/6 391) vs.0.471％ (3/637),P =0.012),in left circumflex branch originated from right coronary sinus (0.046％ (3/6 391) vs.0.471％ (3/637),P =0.012),and opening of right coronary artery in left coronary sinus or left anterior descending (0.704％ (45/6 391) vs.1.570％ (10/637),P =0.018).Conclusion The incidences of coronary artery anomalies and benign coronary artery anomalies were significantly lower in Han nationality residents than that of the in Tibetan nationality residents living in middle and high altitude.

Objective To explore the application of dual-source CT derived fractional flow reserve(FFR)for percutaneous coronary intervention(PCI)in patients with coronary heart disease.Methods A retrospective study was conducted on 68 coronary heart disease patients admitted from January 2022 to June 2022.Whether PCI was carried out was dependent on coronary angiography in control group(n=34)and dual-source CT derived FFR in research group(n=34).The two groups were compared for general data,length of diseased blood vessels,number of stents,hospitalization expenses and incidence of adverse reactions.Results The differences in age,smoking history,diabetes,hypercholesterolemia and angina pectoris between two groups were trivial(P＞0.05).After treatment,research group had less number of stents,lower hospitalization costs,and shorter diseased blood vessels than control group(P＜0.05).The 6-month follow-up showed that the total incidences of adverse reactions in research group and control group were 17.65％and 58.82％(P＜0.05).Conclusion Using dual-source CT derived FFR to guide PCI can reduce the number of stents and hospitalization costs,and lower the incidence of cardiovascular adverse reactions.

Objective To explore the predictive value of artificial intelligence(AI)plaque quantitative analysis combined with CT derived fractional flow reserve(CT-FFR)and pericoronary fat attenuation index(FAI)in coronary heart disease(CHD)in Qinghai.Methods A total of 118 suspected CHD patients were selected,and were divided into a stenosis group(n=76)and a non-stenosis group(n=42)based on whether their vascular stenosis rate was＞50％.The plaque volume,load,CT-FFR value,and pericoronary FAI of the two groups were measured and compared,and their predictive value in CHD was further analyzed.Results The plaque total volume,calcified and non-calcified plaque volume,lipid plaque volume,and corresponding volume load of the stenosis group were significantly higher than those of the non-stenosis group(P＜0.05),the percentage of napkin ring sign and pericoronary FAI were significantly higher than those of the non-stenosis group,and the CT-FFR was significantly lower than that of the non-stenosis group(P＜0.05).Logistic regression analysis found that the volume load of calcified and lipid plaques,napkin ring sign,CT-FFR,and pericoronary FAI were independent risk factors for CHD(P＜0.05).The combination of AI plaque quantitative analysis,CT-FFR,and pericoronary FAI had high sensitivity and specificity,with high value in CHD diagnosis.Conclusion The combination of AI plaque quantitative analysis,CT-FFR,and pericoronary FAI has high value in the diagnosis of CHD,and may be worthy of clinical promotion application.