| 核素心肌灌注显像诊断无症状性心肌缺血价值 |
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| 引用本文： | 高玲,贾鹏,李爱梅.核素心肌灌注显像诊断无症状性心肌缺血价值[J].实用诊断与治疗杂志,2011,25(9). |
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| 作者姓名： | 高玲 贾鹏 李爱梅 |
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| 作者单位： | 1. 南京大学医学院附属鼓楼医院心内科,南京市,210008
2. 南京大学医学院附属鼓楼医院核医学科,南京市,210008 |
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| 摘 要： | 目的探讨核素心肌灌注显像诊断无症状性心肌缺血的临床应用价值。方法动态心电图或其他心电检测技术检测无症状性心肌梗死患者22例,均行核素心肌灌注显像与冠状动脉造影检查,并以冠状动脉造影结果为金标准,计算核素心肌灌注显像结果预测值。结果 22例患者中8例核素心肌灌注显像表现为不可逆性心肌缺血,14例表现为混合性心肌缺血,共检测出40个节段病变心肌。冠状动脉造影检出阳性血管45支(血管狭窄程度≥50%),其中28支狭窄程度>90%,15支狭窄程度>70%~90%,2支狭窄程度≤70%。核素心肌灌注显像阳性结果预测值为88.9%(40/45)。结论核素心肌灌注显像有助于无症状性心肌缺血诊断,并可用于评价心肌损害严重程度。
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| 关 键 词： | 心肌缺血 核素心肌灌注显像 无症状 |
Value of nuclide myocardial perfusion imaging to the diagnosis of silent myocardial infarction |
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| GAO Ling,JIA Peng,LI Ai-mei.Value of nuclide myocardial perfusion imaging to the diagnosis of silent myocardial infarction[J].Journal of Practical Diagnosis and Therapy,2011,25(9). |
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| Authors: | GAO Ling JIA Peng LI Ai-mei |
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| Institution: | GAO Ling1),JIA Peng2),LI Ai-mei2)1) Department of Cardiology,Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical College,Nanjing 210008,China,2) Department of Nuclear Medicine |
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| Abstract: | Objective To study the clinical value of nuclide myocardial perfusion imaging to the diagnosis of silent myocardial infarction.Methods Twenty-two patients with silent myocardial infarction received gated nuclide myocardial perfusion imaging and coronary angiography,and the predictive value was calculated on the basis of coronary angiographic results.Results In 22 cases receiving nuclide myocardial perfusion imaging,irreversible myocardial ischemia was found in 8 cases,and mixed ischemia was found in 14 case... |
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| Keywords: | Myocardial infarction nuclide myocardial perfusion imaging silent |
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