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核素心肌灌注显像对冠心病患者的预后评估
引用本文:马菊琴,薛莉.核素心肌灌注显像对冠心病患者的预后评估[J].宁夏医学杂志,2009,31(4):329-330.
作者姓名:马菊琴  薛莉
作者单位:宁夏医科大学,宁夏,银川,750004
摘    要:目的探讨应用核素心肌灌注显像,对冠心病患者进行危险度分层和预后评估的价值。方法对204例已知或可疑的冠心病患者进行静息和腺苷负荷心肌灌注显像,对心肌灌注图像进行评分(0-4分),计算总负荷评分(SSS)、总静息评分(SRS)和差值分(SDS=SSS-SRS)后进行随访,发生心脏事件后终止随访。结果共随访194例,随访17-46个月,随访中共有35例患者发生心脏事件,心脏事件发生率为18.04%,SSS、SDS、SRS均是心脏事件发生的独立预测因素(P〈0.05),Cox比例风险回归分析示SSS是心脏事件的最强预测因素。结论应用核素心肌灌注显像可以对冠心病患者进行正确的危险度分层及预后评估。

关 键 词:心肌灌注显像  冠心病  危险度分层

Prognosis of patients with coronary artery disease by myocardial perfusion imaging
MA Ju-qin,et al..Prognosis of patients with coronary artery disease by myocardial perfusion imaging[J].Ningxia Medical Journal,2009,31(4):329-330.
Authors:MA Ju-qin  
Institution:Ningxia Medical University;Yinchuan 750004;China
Abstract:Objective To explore prognosis of patients with coronary artery diseases in the risk stratification by myocardial perfusion imaging.Methods 204 patients underwent rest and adenosine stress myocardial perfusion imaging and were followed up for (17-46) months. Images were studied using 20 segments and 0 to 4 scoring. Global summed stress score (SSS), summed rest score (SRS) and summed different score (SDS=SSS-SRS) were also calculated.Results 35 cardiac events occurred (18.04%). SSS, SDS and SRS were independ...
Keywords:Myocardial perfusion  Cardiac artery disease  Risk stratification  Prognosis  
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