运动负荷试验患者中临时使用心肌灌注成像：一个充满挑战但值得探讨的概念 - Suppr

Provisional use of myocardial perfusion imaging in patients undergoing exercise stress testing: a worthy concept fraught with challenges.

作者信息

Beller George A, Bateman Timothy M

机构信息

Cardiovascular Division, Department of Medicine, University of Virginia Health System, Box 800158, Charlottesville, VA, 22908, USA,

出版信息

J Nucl Cardiol. 2013 Oct;20(5):711-4. doi: 10.1007/s12350-013-9742-y.

DOI:10.1007/s12350-013-9742-y

PMID:23852718

Abstract

摘要

相似文献

Provisional use of myocardial perfusion imaging in patients undergoing exercise stress testing: a worthy concept fraught with challenges.运动负荷试验患者中临时使用心肌灌注成像：一个充满挑战但值得探讨的概念

J Nucl Cardiol. 2013 Oct;20(5):711-4. doi: 10.1007/s12350-013-9742-y.

A hypothetical protocol for the provisional use of perfusion imaging with exercise stress testing.一个关于使用运动负荷试验灌注成像的临时使用的假设性方案。

J Nucl Cardiol. 2013 Oct;20(5):739-47. doi: 10.1007/s12350-013-9710-6. Epub 2013 Jun 5.

Rate-pressure product-derived global coronary flow reserve (CFR): an unrecognized parameter available during all standard exercise ECG stress tests and conventional exercise SPECT myocardial perfusion studies (exMPS).心率-血压乘积衍生的整体冠状动脉血流储备（CFR）：在所有标准运动心电图负荷试验和传统运动单光子发射计算机断层扫描心肌灌注显像（exMPS）期间均可获得的一个未被认识的参数。

J Nucl Cardiol. 2014 Apr;21(2):400-1. doi: 10.1007/s12350-013-9850-8. Epub 2014 Jan 16.

Marked ST-segment elevations during regadenoson pharmacologic nuclear stress testing.雷加得诺药理核素负荷试验期间出现明显的ST段抬高。

J Nucl Cardiol. 2020 Jun;27(3):1071-1075. doi: 10.1007/s12350-019-01683-2. Epub 2019 Mar 18.

Stress-induced ST elevation with or without concomitant ST depression is predictive of presence, location and amount of myocardial ischemia assessed by myocardial perfusion SPECT, whereas isolated stress-induced ST depression is not.应激诱导的ST段抬高伴或不伴ST段压低可预测心肌灌注单光子发射计算机断层扫描（SPECT）评估的心肌缺血的存在、部位和程度，而孤立的应激诱导的ST段压低则不能。

J Electrocardiol. 2016 May-Jun;49(3):307-15. doi: 10.1016/j.jelectrocard.2016.03.016. Epub 2016 Mar 9.

A case of bronchospasm-induced takotsubo cardiomyopathy during adenosine stress testing.一例腺苷负荷试验期间支气管痉挛诱发的应激性心肌病

J Nucl Cardiol. 2020 Dec;27(6):2421-2425. doi: 10.1007/s12350-019-01996-2. Epub 2020 Jan 2.

Exercise-induced ST elevation with minimal ischemia by perfusion imaging.运动诱发的ST段抬高伴灌注成像显示的轻度缺血。

J Nucl Cardiol. 2018 Dec;25(6):2186-2188. doi: 10.1007/s12350-018-1188-9. Epub 2018 Jan 16.

Risk stratification among diabetic patients undergoing stress myocardial perfusion imaging.糖尿病患者行应激心肌灌注显像的危险分层。

J Nucl Cardiol. 2013 Aug;20(4):529-38. doi: 10.1007/s12350-013-9731-1. Epub 2013 May 24.

The WOMENs trial: how should I interpret the results?女性试验：我该如何解读结果？

J Nucl Cardiol. 2012 Aug;19(4):785-6. doi: 10.1007/s12350-012-9577-y.

Off-label, but on-target: use of regadenoson with exercise.超适应证但靶向性明确：雷加昔布联合运动的应用

J Nucl Cardiol. 2013 Apr;20(2):179-81. doi: 10.1007/s12350-012-9643-5.

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Rise and fall, and provisional rebirth of exercise stress testing at the dawn of the third millennium.在第三个千年伊始，运动负荷试验的兴衰与暂时复兴。

J Nucl Cardiol. 2021 Oct;28(5):2067-2071. doi: 10.1007/s12350-019-01967-7. Epub 2019 Dec 2.

A high exercise workload of ≥ 10 METS predicts a low risk of significant ischemia and cardiac events in older adults.高运动工作量（≥ 10 代谢当量）可预测老年人发生严重缺血和心脏事件的风险较低。

J Nucl Cardiol. 2020 Oct;27(5):1486-1496. doi: 10.1007/s12350-018-1376-7. Epub 2018 Jul 26.

Usefulness of Achieving ≥10 METs With a Negative Stress Electrocardiogram to Screen for High-Risk Obstructive Coronary Artery Disease in Patients Referred for Coronary Angiography After Exercise Stress Testing.在运动负荷试验后接受冠状动脉造影的患者中，通过负性运动心电图达到≥10代谢当量来筛查高危阻塞性冠状动脉疾病的效用。

Am J Cardiol. 2018 Feb 1;121(3):289-293. doi: 10.1016/j.amjcard.2017.10.032. Epub 2017 Oct 31.

Value of Exercise ECG for Risk Stratification in Suspected or Known CAD in the Era of Advanced Imaging Technologies.在先进成像技术时代，运动心电图对疑似或已知冠心病患者进行危险分层的价值。

JACC Cardiovasc Imaging. 2015 Nov;8(11):1309-21. doi: 10.1016/j.jcmg.2015.09.006.

Prospective evaluation of a new protocol for the provisional use of perfusion imaging with exercise stress testing.前瞻性评估一种新的运动负荷试验灌注成像临时应用方案。

Eur J Nucl Med Mol Imaging. 2015 Feb;42(2):305-16. doi: 10.1007/s00259-014-2864-x. Epub 2014 Nov 4.

Cardiovascular risk stratification in diabetic patients: is all in METS?糖尿病患者的心血管风险分层：全在于代谢当量（METS）吗？

J Nucl Cardiol. 2014 Dec;21(6):1144-7. doi: 10.1007/s12350-014-9931-3. Epub 2014 Aug 22.

本文引用的文献

A hypothetical protocol for the provisional use of perfusion imaging with exercise stress testing.一个关于使用运动负荷试验灌注成像的临时使用的假设性方案。

J Nucl Cardiol. 2013 Oct;20(5):739-47. doi: 10.1007/s12350-013-9710-6. Epub 2013 Jun 5.

2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons.2012年美国心脏病学会基金会/美国心脏协会/美国内科医师学会/美国胸外科医师协会/预防心血管护士协会/心血管造影和介入学会/胸外科医师学会稳定型缺血性心脏病患者诊断和管理指南：执行摘要：美国心脏病学会基金会/美国心脏协会实践指南工作组、美国内科医师学会、美国胸外科医师协会、预防心血管护士协会、心血管造影和介入学会以及胸外科医师学会的报告

Circulation. 2012 Dec 18;126(25):3097-137. doi: 10.1161/CIR.0b013e3182776f83. Epub 2012 Nov 19.

Clinical role of the Duke Activity Status Index in the selection of the optimal type of stress myocardial perfusion imaging study in patients with known or suspected ischemic heart disease.杜克活动状态指数在已知或疑似缺血性心脏病患者选择最佳应激心肌灌注成像研究类型中的临床作用。

J Nucl Cardiol. 2011 Dec;18(6):1015-20. doi: 10.1007/s12350-011-9456-y. Epub 2011 Oct 5.

Comparative effectiveness of exercise electrocardiography with or without myocardial perfusion single photon emission computed tomography in women with suspected coronary artery disease: results from the What Is the Optimal Method for Ischemia Evaluation in Women (WOMEN) trial.在疑似冠心病女性中，运动心电图与心肌灌注单光子发射计算机断层扫描的比较效果：来自女性缺血评估最佳方法（WOMEN）试验的结果。

Circulation. 2011 Sep 13;124(11):1239-49. doi: 10.1161/CIRCULATIONAHA.111.029660. Epub 2011 Aug 15.

Prognosis in patients achieving ≥10 METS on exercise stress testing: was SPECT imaging useful?运动应激试验达到≥10 METS 的患者的预后：SPECT 成像有用吗？

J Nucl Cardiol. 2011 Apr;18(2):230-7. doi: 10.1007/s12350-010-9323-2. Epub 2010 Dec 4.

Normal stress-only versus standard stress/rest myocardial perfusion imaging: similar patient mortality with reduced radiation exposure.单纯正压力与标准压力/休息心肌灌注成像：相似的患者死亡率与更低的辐射暴露。

J Am Coll Cardiol. 2010 Jan 19;55(3):221-30. doi: 10.1016/j.jacc.2009.09.022. Epub 2009 Nov 13.

Achieving an exercise workload of > or = 10 metabolic equivalents predicts a very low risk of inducible ischemia: does myocardial perfusion imaging have a role?达到≥10代谢当量的运动负荷预示着诱发缺血的风险极低：心肌灌注成像有作用吗？

J Am Coll Cardiol. 2009 Aug 4;54(6):538-45. doi: 10.1016/j.jacc.2009.04.042.

Multicenter investigation comparing a highly efficient half-time stress-only attenuation correction approach against standard rest-stress Tc-99m SPECT imaging.一项多中心研究，比较一种高效的仅半时相负荷衰减校正方法与标准静息-负荷Tc-99m单光子发射计算机断层显像。

J Nucl Cardiol. 2009 Sep-Oct;16(5):726-35. doi: 10.1007/s12350-009-9109-6. Epub 2009 Jun 23.

Usefulness of high functional capacity in patients with exercise-induced ST-depression to predict a negative result on exercise echocardiography and low prognostic risk.运动诱发ST段压低患者的高功能能力对预测运动超声心动图阴性结果及低预后风险的有用性。

Am J Cardiol. 2008 Jun 1;101(11):1541-3. doi: 10.1016/j.amjcard.2008.01.039. Epub 2008 Apr 2.

Clinical utility of coronary calcium scoring after nonischemic myocardial perfusion imaging.非缺血性心肌灌注成像后冠状动脉钙化评分的临床应用价值

J Nucl Cardiol. 2005 Jul-Aug;12(4):392-400. doi: 10.1016/j.nuclcard.2005.04.006.

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Provisional use of myocardial perfusion imaging in patients undergoing exercise stress testing: a worthy concept fraught with challenges.

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