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[心肌梗死患者室壁运动异常与局部心肌灌注之间的差异:心肌对比超声心动图评估]

[Discrepancies between wall motion abnormalities and regional myocardial perfusion in patients with myocardial infarction: evaluation by myocardial contrast echocardiography].

作者信息

Lim Y J, Nanto S, Masuyama T, Ikeda T, Matsumura Y, Kodama K, Kitabatake A, Inoue M, Kamada T

机构信息

Cardiovascular Division, Kawachi General Hospital, Higashi-Osaka.

出版信息

J Cardiol. 1989 Jun;19(2):343-50.

PMID:2636616
Abstract

Regional myocardial perfusions obtained by myocardial contrast echocardiography were compared with wall motion abnormalities evaluated by two-dimensional echocardiography in 26 patients with old myocardial infarction (12 with a QS pattern and 14 with a non-QS pattern on electrocardiograms). Myocardial contrast echocardiography was performed by the intracoronary injection of 2 ml of hand-agitated Urografin-76, and short-axis views of the left ventricle were recorded on VTR. Regional myocardial perfusion was categorized using a three-point scale based on the gray levels, and was compared with wall motion abnormalities of the corresponding region as assessed by two-dimensional echocardiography.

摘要

在26例陈旧性心肌梗死患者(12例心电图呈QS型,14例呈非QS型)中,对比了经心肌对比超声心动图获得的局部心肌灌注情况与经二维超声心动图评估的室壁运动异常情况。通过冠状动脉内注射2ml手工振荡的泛影葡胺-76进行心肌对比超声心动图检查,并在视频磁带录像机上记录左心室短轴切面图像。基于灰度水平,采用三分制对局部心肌灌注进行分类,并与经二维超声心动图评估的相应区域的室壁运动异常情况进行比较。

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