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冬眠心肌:诊断与患者预后

Hibernating myocardium: diagnosis and patient outcomes.

作者信息

Schinkel Arend F L, Bax Jeroen J, Poldermans Don, Elhendy Abdou, Ferrari Roberto, Rahimtoola Shahbudin H

机构信息

Cardiology, Thoraxcenter, Rotterdam, The Netherlands.

出版信息

Curr Probl Cardiol. 2007 Jul;32(7):375-410. doi: 10.1016/j.cpcardiol.2007.04.001.

Abstract

Approximately 50% of the patients with chronic obstructive coronary artery disease resulting in chronic contractile dysfunction have hibernating myocardium and may benefit from revascularization. This pooled analysis describes the relative merits of dobutamine echocardiography, thallium-201 and technetium-99m scintigraphy, positron emission tomography, and magnetic resonance imaging, for the diagnosis of hibernating myocardium and prediction of patient outcomes.

摘要

约50%因慢性阻塞性冠状动脉疾病导致慢性收缩功能障碍的患者存在冬眠心肌,可能从血运重建中获益。这项汇总分析描述了多巴酚丁胺超声心动图、铊-201和锝-99m闪烁扫描、正电子发射断层扫描及磁共振成像在诊断冬眠心肌及预测患者预后方面的相对优势。

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