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[口服潘生丁试验在冠状动脉供血不足诊断中的应用]

[The peroral dipyridamole test in the diagnosis of coronary insufficiency].

作者信息

Miklová E, Simícek J, Stverák P, Michalík D

出版信息

Vnitr Lek. 1989 Sep;35(9):921-3.

PMID:2815607
Abstract

Sixty-six subjects selected at random during the routine work of a medical outpatient department, without typical cardiac complaints, aged 58.4 +/- 8.2 years, and 29 patients in the third week after a new myocardial infarction aged 55.8 +/- 6.9 years drank on fasting a suspension of 450 mg dipyridamole. The ECG tracing was made on fasting, 45 and 60 minutes after ingestion of the suspension, on development of angina pectoris immediately and then aminophylline was administered by the i.v. route. In the first group there were 4.5%, in the second group 24.1% positive tests of coronary insufficiency. The oral test replaces the intravenous dipyridamole test. It is suitable as a supplementary test for the assessment of coronary insufficiency in combination with ergometry and as an alternative examination where ergometry cannot be performed.

摘要

在一家门诊部的日常工作中随机挑选了66名无典型心脏不适主诉的受试者,年龄为58.4±8.2岁,以及29名新发心肌梗死后第三周的患者,年龄为55.8±6.9岁,他们在空腹时饮用了450毫克双嘧达莫的悬液。在空腹时、饮用悬液后45分钟和60分钟、心绞痛发作即刻进行心电图描记,然后通过静脉途径给予氨茶碱。第一组冠状动脉供血不足试验阳性率为4.5%,第二组为24.1%。口服试验替代了静脉双嘧达莫试验。它适合作为与运动试验相结合评估冠状动脉供血不足的补充试验,以及在无法进行运动试验时作为替代检查。

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