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冠心病患者运动数字左心室造影的相位和幅度分析

Phase and amplitude analysis of exercise digital left ventriculograms in patients with coronary disease.

作者信息

Lyons J, Norell M, Gardener J, Davies S, Balcon R, Layton C

机构信息

Cardiac Department, London Chest Hospital.

出版信息

Br Heart J. 1989 Aug;62(2):102-11. doi: 10.1136/hrt.62.2.102.

DOI:10.1136/hrt.62.2.102
PMID:2669901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1216742/
Abstract

Phase and amplitude analysis was applied to intravenous digital left ventriculograms to avoid the artefacts associated with image subtraction. Eight controls and 40 patients with known coronary artery disease underwent digital left ventriculography before and after a symptom limited supine bicycle exercise test. The resultant images were subjected to phase and amplitude analyses. In the control group there was no deterioration in left ventricular wall motion after exercise. In 30 of the 40 patients there was a deterioration in wall motion on exercise. This group contained all eight patients with three vessel disease and 12 of the 17 patients with two vessel disease. Ten patients showed no change in wall motion--five with one vessel disease and five with two vessel disease. Phase and amplitude analysis of digital left ventriculograms is a method of detecting exercise induced myocardial ischaemia that may help in the assessment of patients with coronary artery disease.

摘要

对静脉注射数字左心室造影图像进行相位和幅度分析,以避免与图像减法相关的伪影。8名对照组患者和40名已知患有冠状动脉疾病的患者在症状受限的仰卧位自行车运动试验前后接受了数字左心室造影。对所得图像进行相位和幅度分析。对照组中运动后左心室壁运动没有恶化。40名患者中有30名运动时壁运动恶化。该组包括所有8名三支血管病变患者和17名双支血管病变患者中的12名。10名患者壁运动无变化——5名单支血管病变患者和5名双支血管病变患者。数字左心室造影的相位和幅度分析是一种检测运动诱发心肌缺血的方法,可能有助于评估冠状动脉疾病患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a5/1216742/17553d562186/brheartj00068-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a5/1216742/6a777f6b6b6b/brheartj00068-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a5/1216742/17553d562186/brheartj00068-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a5/1216742/6a777f6b6b6b/brheartj00068-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a5/1216742/17553d562186/brheartj00068-0027-a.jpg

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本文引用的文献

1
Diagnostic value of exercise electrocardiography and thallium myocardial scintigraphy in patients without previous myocardial infarction: a Bayesian approach.
Circulation. 1981 May;63(5):1019-24. doi: 10.1161/01.cir.63.5.1019.
2
Phasic abnormalities of left ventricular emptying in coronary artery disease.冠状动脉疾病中左心室排空的阶段性异常。
Br Heart J. 1981 Sep;46(3):245-53. doi: 10.1136/hrt.46.3.245.
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Phase analysis of radionuclide ventriculograms for the detection of coronary artery disease.
Am Heart J. 1982 Jul;104(1):1-12. doi: 10.1016/0002-8703(82)90634-2.
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Int J Card Imaging. 1990;6(2):85-96. doi: 10.1007/BF02398890.
Phase analysis of the first pass radionuclide angiocardiogram.首次通过放射性核素心血管造影的相位分析
Br Heart J. 1982 Nov;48(5):441-8. doi: 10.1136/hrt.48.5.441.
5
Investigation of left ventricular function by digital subtraction angiography.通过数字减影血管造影术对左心室功能进行研究。
Br Heart J. 1984 Feb;51(2):163-7. doi: 10.1136/hrt.51.2.163.
6
Exercise left ventriculography utilizing intravenous digital angiography.
J Am Coll Cardiol. 1983 Dec;2(6):1092-8. doi: 10.1016/s0735-1097(83)80335-0.
7
Digital subtraction intravenous left ventricular angiography: comparison with conventional intraventricular angiography.数字减影静脉左心室血管造影:与传统心室内血管造影的比较。
J Am Coll Cardiol. 1983 Mar;1(3):858-62. doi: 10.1016/s0735-1097(83)80199-5.
8
Comparison of stress digital ventriculography, stress thallium scintigraphy, and digital fluoroscopy in the diagnosis of coronary artery disease in subjects without prior myocardial infarction.无既往心肌梗死受试者中应力数字心室造影、应力铊闪烁扫描术和数字荧光透视法在冠状动脉疾病诊断中的比较
Am J Cardiol. 1985 Sep 1;56(7):434-40. doi: 10.1016/0002-9149(85)90881-1.
9
Exercise digital subtraction ventriculography for the detection of ischaemic wall motion abnormalities in patients without myocardial infarction.运动数字减影心室造影术用于检测无心肌梗死患者的缺血性室壁运动异常。
Br Heart J. 1986 Aug;56(2):131-7. doi: 10.1136/hrt.56.2.131.
10
The demonstration of exercise-induced myocardial ischaemia using phase and amplitude analysis of exercise digital left ventriculograms.利用运动数字左心室造影的相位和幅度分析来证明运动诱发的心肌缺血。
Eur Heart J. 1987 Oct;8 Suppl G:137-41. doi: 10.1093/eurheartj/8.suppl_g.137.