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[血管重建术后心电轴图会发生变化吗?]

[Does the cardiogoniogram change following revascularization?].

作者信息

Herrmann H J, Meier A P

机构信息

Kardiologische Abteilung, Medizinische Universitätsklinik, Inselspital Bern.

出版信息

Schweiz Med Wochenschr. 1989 Jul 11;119(27-28):979-83.

PMID:2529631
Abstract

19 patients with one-vessel coronary disease were studied by cardiogoniometry (CGM), a new computerized vectorcardiographic method, before and after revascularization. In 14 patients revascularization had been performed by the method of percutaneous transluminal angioplasty (PTCA) and in 5 patients by aortocoronary bypass operation. Although the majority of cases showed a good postoperative result, CGM parameters failed to demonstrate a significant change, i.e. a previous pathologic CGM remained unchanged. It therefore appears to be doubtful whether CGM is reliable enough to assess the results of revascularization, possibly because it is more sensitive to infarcted than potentially ischemic yet vital myocardium.

摘要

采用一种新的计算机化向量心动图方法——心角测量法(CGM),对19例单支冠状动脉疾病患者在血运重建术前和术后进行了研究。14例患者通过经皮腔内血管成形术(PTCA)进行血运重建,5例患者通过主动脉冠状动脉搭桥手术进行血运重建。尽管大多数病例术后效果良好,但CGM参数未能显示出显著变化,即先前病理性的CGM保持不变。因此,CGM是否足够可靠以评估血运重建的结果似乎值得怀疑,这可能是因为它对梗死心肌比对潜在缺血但仍存活的心肌更敏感。

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