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31.
32.
Coronary vasomotion in patients with syndrome X: evaluation with positron emission tomography and parametric myocardial perfusion imaging 总被引:1,自引:1,他引:0
Joan G. Meeder Paul K. Blanksma Ernst E. van der Wall Antoon T. M. Willemsen Jan Pruim Rutger L. Anthonio Richard M. de Jong Willem Vaalburg Kong I. Lie 《European journal of nuclear medicine and molecular imaging》1997,24(5):530-537
The aim of this study was to elucidate further the causative mechanism of abnormal coronary vasomotion in patients with syndrome X. In patients with syndrome X, defined as angina pectoris and documented myocardial ischaemia during stress testing with normal findings at coronary angiography, abnormal coronary vasomotion of either the micro- or the macrocirculation has been suggested as the causative mechanism. Accordingly, we evaluated endothelial function, vasodilator reserve, and perfusion heterogeneity in these patients. Twenty-five patients with syndrome X (definitely normal coronary arteriogram, group A), 15 patients with minimal coronary artery disease (group B) and 21 healthy volunteers underwent [13N]ammonia positron emission tomography at rest, during cold pressor stimulation (endothelial function) and during dipyridamole stress testing (vasodilator reserve). Heterogeneity of myocardial perfusion was analysed by parametric polar mapping using a 480-segment model. In both patient groups, resting perfusion was increased compared to the normal subjects: group A, 127±31 ml·min–1·100 g–1; group B, 124±30 ml·min–1·100 g–1 normal subjects, 105±21 ml·min–1·100 g–1 (groups A and B vs normals,P<0.05). These differences were abolished after correction for rate-pressure product. During cold pressor stimulation, the perfusion responses (ratio of cold pressor perfusion to resting perfusion) were similar among the patients and the control subjects (group A, 1.20±0.23; group B, 1.24±0.22; normal subjects, 1.23±0.14). Likewise, during dipyridamole stress testing, perfusion responses were similar among the three groups (group A, 2.71±0.67; group B, 2.77±1.29; normal subjects, 2.91±1.04). In group A the heterogeneity of resting perfusion, expressed as coefficient of variation, was significantly different from the volunteers (20.1±4.5 vs 17.0±3.0,P<0.05). In group B (coefficient of variation 19.4±3.9) the difference from normal volunteers was not significant. In this study, patients with syndrome X and patients with minimal coronary artery disease showed normal perfusion responses during cold pressor stimulation and dipyridamole stress testing. Our findings therefore suggest that endothelial dysfunction and impaired vasodilator reserve are of no major pathophysiological relevance in patients with syndrome X. Rather, other mechanisms such as increased sympathetic tone and focal release of vasoactive substances may play a role in the pathogenesis of syndrome X. 相似文献
33.
StudiesoftheeffectsofdietaryzincontheimmuneorgansandcellularimmunityintheratWuJiahui(吴嘉惠);WuShuibing(吴水冰);BaiJiasi(白家驷);KongX... 相似文献
34.
本文对14例HBV-DNA阳性患儿的家庭成员23人进行血清学检测,并收集22例正常人血清为对照组。23例家庭成员中HBV-DNA阳性率为34.8%(8/23),明显高于对照组4.5%(1/22),P<0.01。HBV-DNA阳性率在患儿的双亲为40%(4/10),而在其祖父母辈为33.33%(3/9),二者无显著差异(P>0.05)。提示乙肝病毒感染的家庭聚集性存在双亲或祖父母辈与患儿间的易感性相似。 相似文献
35.
数字化校园构建之理论基础探讨 总被引:3,自引:3,他引:0
从总结数字化建设的实际出发,从建构主义教学理论、教育传播理论和管理科学理论三个方面,较为全面地论述了构建数字化校园的理论基础,并探讨了在数字化校园建设中如何应用理论来指导实际工作. 相似文献
36.
Smooth muscle relaxant effect of dehydroindicolactone 总被引:1,自引:0,他引:1
Dehydroindicolactone, a novel linear furanocoumarin with an 8-substituted side chain carrying a 5-member ring lactone, showed spasmolytic activity in a number of smooth muscle preparations. The spasmolytic activity seems to lie in its ability to block the dihydropyridine-sensitive calcium channel. 相似文献
37.
Yu X Kong Gavin Wright Konrad Pesudovs Justin ODay Zoe Wainer Harrison S Weisinger 《Clinical & experimental optometry》2007,90(5):336-344
Horner syndrome is an uncommon but important clinical entity, representing interruption of the sympathetic pathway to the eye and face. Horner syndrome is almost always diagnosed clinically, though pharmacological testing can be used to confirm the diagnosis. Imaging modalities such as PET, CT and MRI are important components of work‐up for patients presenting with acquired Horner syndrome. Our patient’s presentation with Horner syndrome unmasked the causative superior sulcus squamous cell carcinoma and a coincidental lower lobe adenocarcinoma. Successful radical treatment of these cancers resulted in complete resolution of the syndrome and disease‐free survival at 18 months. We review the anatomy and pathophysiology underlying this and other causes of Horner syndrome. 相似文献
38.
39.
痛力克对癌症疼痛镇痛效果的临床观察 总被引:1,自引:0,他引:1
应用印度LUPIN公司提供的痛力克(酮酷酸氨丁三醇 )对中重度癌症疼痛30例进行镇痛效果的临床观察,有效率93%,平均显效时间9min,均数缓解时间5.1h,并用哌替啶做了同期交叉自身镇痛对比研究,结果表明:两药的镇痛效果相似(P>0.05),但痛力克的不良反应发生率明显低于哌替啶。 相似文献
40.
必须重视中药新药质量标准和制剂稳定性的研究 总被引:1,自引:0,他引:1
从审评工作的角度,提出我国要研制出在世界上有竞争力、安全有效的中药新药,必须重视中药新药质量标准和制剂稳定性的研究。同时,应加强新药审批办法的学习,以提高中药新药的申报水平。 相似文献