Sharma Rajan, Pellerin Denis
Ealing Hospital, London, UK.
Vasc Health Risk Manag. 2009;5(1):1-7. Epub 2009 Apr 8.
Cardiovascular disease is the leading cause of death in patients with diabetes therefore prompt diagnosis and treatment of high risk groups is essential. Dobutamine stress echocardiography is a safe, cheap and reliable method for coronary artery disease diagnosis and provides important long term prognostic information. The diagnostic accuracy and prognostic power of this technique has been validated by a number of studies on patients with and without diabetes. This article discusses the application, interpretation, and accuracy of stress echocardiography both in the general population and in patients with diabetes. The role of advanced imaging modalites such as myocardial contrast agents and tissue Doppler imaging is also explored.
心血管疾病是糖尿病患者的主要死因，因此对高危人群进行及时诊断和治疗至关重要。多巴酚丁胺负荷超声心动图是一种用于诊断冠状动脉疾病的安全、廉价且可靠的方法，并能提供重要的长期预后信息。该技术的诊断准确性和预后评估能力已在多项针对有或无糖尿病患者的研究中得到验证。本文讨论了负荷超声心动图在普通人群和糖尿病患者中的应用、解读及准确性。还探讨了心肌造影剂和组织多普勒成像等先进成像模式的作用。
