| D-SPECT评价体外心脏震波治疗对PCI术后患者血流灌注及心功能的影响 |
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| 引用本文： | 张 倩,张海鹰,霍艳雷,刘伟静,李万通,余 飞,马 超,吕中伟. D-SPECT评价体外心脏震波治疗对PCI术后患者血流灌注及心功能的影响[J]. 同济大学学报(医学版), 2022, 43(1): 90-94. DOI: 10.12289/j.issn.1008-0392.21230 |
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| 作者姓名： | 张 倩 张海鹰 霍艳雷 刘伟静 李万通 余 飞 马 超 吕中伟 |
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| 作者单位： | 同济大学附属第十人民医院核医学科,上海 200072;同济大学附属第十人民医院崇明分院放射科,上海 202157;同济大学附属第十人民医院心内科,上海 200072 |
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| 基金项目： | 上海市公共卫生体系建设三年行动计划(GWV-10.1-XK09)；上海市崇明区“可持续发展科技创新行动计划”（CKY2019-20） |
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| 摘 要： | 目的 评价新型心脏专用机D-SPECT在体外心脏震波治疗经皮冠状动脉介入术( percutaneous coronary intervention, PCI)患者前后血流灌注及心功能的影响.方法 在同济大学附属第十人民医院行PCI术后接受体外心脏震波治疗的患者30例,男22例,女8例,分别在 PCI术后3个月行体外心脏...
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| 关 键 词： | D-SPECT 体外心脏震波治疗 血流灌注 心肌显像 疗效 |
| 收稿时间： | 2021-06-03 |
Efficacy of cardiac shock wave therapy on blood perfusion and cardiac function in patients following PCI evaluated by D-SPECT |
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| ZHANG Qian,ZHANG Haiying,HUO Yanlei,LIU Weijing,LI Wantong,YU Fei,MA Chao,LV Zhongwei. Efficacy of cardiac shock wave therapy on blood perfusion and cardiac function in patients following PCI evaluated by D-SPECT[J]. Journal of Tongji University(Medical Science), 2022, 43(1): 90-94. DOI: 10.12289/j.issn.1008-0392.21230 |
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| Authors: | ZHANG Qian ZHANG Haiying HUO Yanlei LIU Weijing LI Wantong YU Fei MA Chao LV Zhongwei |
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| Affiliation: | Department of Nuclear Medicine, Shanghai Tenth People''s Hospital, School of Medicine, Tongji University, Shanghai 200072, China;Department of Radiology, Chongming Branch of Shanghai Tenth People''s Hospital, Shanghai 202157, China;Department of Cardiology, Shanghai Tenth People''s Hospital, School of Medicine, Tongji University, Shanghai 200072, China |
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| Abstract: | Objective To evaluate the efficacy of cardiac shock wave therapy(CSWT) on cardiac perfusion and cardiac function in patients following percutaneous coronary intervention(PCI) by dynamic single-photon emission computed tomography(D-SPECT). Methods Thirty patients(22 males and 8 females) who underwent CSWT after PCI received adenosine overload D-SPECT myocardial perfusion examination before and 6-9 months after CSWT. QPS-QGS image processing software was used for analysis. The LVEF%, SSS, SRS, EDV, ESV, total score of myocardial defect, number of segments of myocardial defect were analyzed and compared before and after CSWT. Results The number of myocardial ischemic segments in resting and overloading state decreased significantly after treatment(P<0.05); the total score of myocardial perfusion in resting and overloading state decreased significantly after treatment(P<0.05). The cardiac function test indexes EF(%) in resting/overloading state increased significantly after treatment(P<0.05); EDV and ESV in resting/loading state improved significantly after treatment(P<0.05). Conclusion CSWT is a noninvasive, safe and effective adjuvant therapy for the recovery of myocardial function in patients following PCI; and D-SPECT myocardial radionuclide perfusion imaging can be used to evaluate the efficacy of CSWT. |
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| Keywords: | D-SPECT cardiac shock wave therapy cardiac perfusion myocardial imaging efficacy |
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