静息心肌灌注显像在一位有非典型胸痛和非诊断性心电图的患者中的应用。
Rest myocardial perfusion imaging in a patient with atypical chest pain and a nondiagnostic electrocardiogram.
机构信息
Maine Medical Center, Department of Cardiac Services R8, 22 Bramhall Street, Portland, Maine 04102, USA.
出版信息
Clin Cardiol. 2010 Feb;33(2):E58-60. doi: 10.1002/clc.20549.
Abstract
ACC/AHA guidelines assign a class I indication for use of myocardial perfusion imaging (MPI) for the evaluation of chest pain in patients with acute coronary syndromes and a nondiagnostic ECG. However, MPI is not a widely used modality for the evaluation of patients who present to the ER with chest pain and an intermediate pretest probability for coronary artery disease.We report a case in which resting MPI was pivotal in diagnosing acute myocardial infarction and expedited the appropriate reperfusion strategy.
摘要
ACC/AHA 指南将心肌灌注成像（MPI）用于评估急性冠状动脉综合征和心电图无诊断性的胸痛患者列为 I 类适应证。然而，MPI 并不是评估因胸痛和中等程度的冠心病前期概率而就诊于急诊室的患者的常用方法。我们报告了一个病例，其中静息 MPI 对诊断急性心肌梗死起关键作用，并加速了适当的再灌注策略。
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本文引用的文献
1
ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Cardiac Radionuclide Imaging).美国心脏病学会/美国心脏协会/美国核医学学会心脏放射性核素成像临床应用指南——执行摘要：美国心脏病学会/美国心脏协会实践指南工作组（美国心脏病学会/美国心脏协会/美国核医学学会修订1995年心脏放射性核素成像临床应用指南委员会）报告
J Am Coll Cardiol. 2003 Oct 1;42(7):1318-33. doi: 10.1016/j.jacc.2003.08.011.
2
American Society of Nuclear Cardiology position statement on radionuclide imaging in patients with suspected acute ischemic syndromes in the emergency department or chest pain center.美国核心脏病学会关于急诊科或胸痛中心疑似急性缺血综合征患者放射性核素成像的立场声明。
J Nucl Cardiol. 2002 Mar-Apr;9(2):246-50. doi: 10.1067/mnc.2002.122630.
3
Comparison of myocardial perfusion imaging and cardiac troponin I in patients admitted to the emergency department with chest pain.胸痛患者急诊入院时心肌灌注成像与心肌肌钙蛋白I的比较。
Circulation. 1999 Apr 27;99(16):2073-8. doi: 10.1161/01.cir.99.16.2073.
4
Noninvasive identification of myocardium at risk in patients with acute myocardial infarction and nondiagnostic electrocardiograms with technetium-99m-Sestamibi.利用锝-99m-甲氧基异丁基异腈对急性心肌梗死且心电图诊断不明确的患者进行无创性心肌危险区识别。
Circulation. 1991 May;83(5):1615-20. doi: 10.1161/01.cir.83.5.1615.
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