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[利用功能性ST段映射和201Tl负荷闪烁显像诊断心肌缺血]

[Diagnosis of myocardial ischemia using functional ST mapping and 201Tl stress scintigraphy].

作者信息

Janota M, Kasalický J, Lexa J, Stupka J, Fabián J

出版信息

Vnitr Lek. 1989 May;35(5):433-8.

PMID:2763475
Abstract

The authors compared the value of two non-invasive methods in the diagnosis of myocardial ischaemia, i.e. precordial working maps of the ST segment and working scintigraphy of the myocardium with 201T1 after a load. On comparison with the finding on the coronary arteries, the authors found a high sensitivity of mapping, 89.3%, and of 201T1 scan, 92.9%, while the specificity of both methods was lower, 57.1%. Both methods are equally valuable for diagnosis of myocardial ischaemia; for assessment of the site of affection thallium scintigraphy of the myocardium is preferable.

摘要

作者比较了两种非侵入性方法在诊断心肌缺血中的价值,即ST段心前区工作图和负荷后用铊-201进行的心肌工作闪烁扫描。与冠状动脉检查结果相比,作者发现心电图ST段心前区工作图的敏感性较高,为89.3%,铊-201扫描的敏感性为92.9%,而两种方法的特异性均较低,为57.1%。两种方法在诊断心肌缺血方面同样有价值;在评估病变部位时,心肌铊闪烁扫描更可取。

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