| 核素运动负荷心肌灌注显像诊断冠心病 |
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| 引用本文： | 杨健 苏敏. 核素运动负荷心肌灌注显像诊断冠心病[J]. 中国医学计算机成像杂志, 1998, 4(4): 260-262 |
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| 作者姓名： | 杨健 苏敏 |
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| 作者单位： | 广东医学院附属医院 |
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| 摘 要： | 目的：探讨三种非侵入性冠心病诊断方法的利弊。材料和方法：对５７例冠心病患者进行运动负荷心肌断层显像（ＥＣＴ），同时与动态心电图（ＤＣＧ）、心电图运动试验（ＴＥＴ）进行对比。结果：运动负荷显像示５２例（９１．２％）呈一个或二个以上部位的心肌缺血改变；ＤＣＧ示４１例（７１．９％）心肌缺血，其中２８例伴有心律失常（４９．１％）；ＴＥＴ示３１例（５４．４％）心肌缺血。三种方法比较，对心肌缺血的检出以核素运动负荷心肌断层显像最高。结论：在病人难以接受冠脉造影时，ＥＣＴ结合ＴＥＴ或ＤＣＧ试验将提高诊断冠心病的可靠性。
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| 关 键 词： | 冠状动脉疾病 断层摄影术.发射型计算机 动态心电图 运动试验 |
Ridionulide Exercise Myocardial Perfusion Imaging in the Diagnosis of Coronary Artery Disease |
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| Yang Jian,Su Min,Liang Haihua,et al.. Ridionulide Exercise Myocardial Perfusion Imaging in the Diagnosis of Coronary Artery Disease[J]. Chinese Computed Medical Imaging, 1998, 4(4): 260-262 |
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| Authors: | Yang Jian Su Min Liang Haihua et al. |
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| Affiliation: | Yang Jian,Su Min,Liang Haihua,et al.Department of Nuclear Medicine,Affiliated Hospital,Guangdong MedicalCollege,Zhanjiang 524001 |
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| Abstract: | Purpose:To evaluate three noninvasive methods in detection of coronary artery disease(CAD).Materials and Methods:Radionuclide exercise myocardial perfusion imaging and holter monitoring and treadmill exercise testing(TET)were compared in 57 cases of CAD.Results:One or more than two ischemic regions were found in 52(91.2%)patients of the 57 with Exercise stress imaging.Holter showed ischemia in 41(71.9%)cases with arrhythmia in 28.There were ischemia in 31(54.4%)cases with TET.Compared three methods,Radiouclide exercise myocardial perfusion imaging has higher sensitivity in the detection of ischemia.Conclusion:Combining different methods for diagnosis of CHD showed more reliability when the patient can't accept coronary arteriography. |
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| Keywords: | Oronary artery disease Tomography Emission computed Holter monitoringExercise test |
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