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应激心肌显像在PCI术后血运重建不完全患者评估中的作用

Role of Stress Myocardial Scintigraphy in the Evaluation of Incompletely Revascularized Post-PCI Patients.

作者信息

Galassi Alfredo R, Marzá Francesco, Azzarelli Salvatore, Tomasello Salvatore D

机构信息

Department of Internal Medicine and Systemic Disease, Clinical Division of Cardiology, Ferrarotto Hospital, University of Catania, Via Antonello da Messina 75 Acicastello, 95021 Catania, Italy.

出版信息

Int J Mol Imaging. 2011;2011:180936. doi: 10.1155/2011/180936. Epub 2011 Sep 21.

Abstract

Percutaneous coronary intervention (PCI) is actually the most used method of revascularization. Although complete revascularization remains a desirable goal, it may not be possible or not easy to plan in many patients. Thus, incomplete revascularization might be a preferred treatment strategy in selected patient categories. Stress myocardial scintigraphy, because of its high diagnostic accuracy and prognostic value and its ability to assess location and extent of myocardial ischemia regardless of symptoms as well as to evaluate patients who are unable to exercise or who have uninterpretable electrocardiogram, is of paramount importance for clinical decision making in patients with multivessel disease and incomplete revascularization.

摘要

经皮冠状动脉介入治疗(PCI)实际上是最常用的血运重建方法。尽管完全血运重建仍然是一个理想的目标,但在许多患者中可能无法实现或难以规划。因此,不完全血运重建可能是某些特定患者群体的首选治疗策略。负荷心肌闪烁扫描因其具有较高的诊断准确性和预后价值,能够评估心肌缺血的部位和范围,而不受症状影响,还能评估无法进行运动或心电图难以解读的患者,对于多支血管病变和不完全血运重建患者的临床决策至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2210/3177365/4bb79647b312/IJMI2011-180936.001.jpg

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