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静息性心绞痛患者的铊闪烁扫描术。

Thallium scintigraphy in patients with angina at rest.

作者信息

Lee R J, MacKenzie G, McNair W, Campbell N P, Adgey A A

机构信息

Regional Medical Cardiology Centre, Belfast.

出版信息

Br Heart J. 1988 May;59(5):517-20. doi: 10.1136/hrt.59.5.517.

Abstract

Sixty six patients with angina at rest were investigated by exercise electrocardiography, thallium scintigraphy, and coronary arteriography. A positive exercise electrocardiogram was highly predictive (93%) but poorly sensitive (52%) of coronary artery disease (greater than or equal to 50% stenosis). Thallium scintigraphy was as predictive of the presence of coronary artery disease (91%) but was also highly sensitive (91%). The diagnostic contribution of the thallium scan was greatest in those patients with an inconclusive exercise electrocardiogram without Q waves.

摘要

66例静息性心绞痛患者接受了运动心电图、铊闪烁扫描及冠状动脉造影检查。运动心电图阳性对冠状动脉疾病(狭窄≥50%)具有高度预测性(93%),但敏感性较差(52%)。铊闪烁扫描对冠状动脉疾病的存在具有同样的预测性(91%),且敏感性也很高(91%)。铊扫描对运动心电图无Q波且结果不确定的患者诊断贡献最大。

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本文引用的文献

1
Submaximal exercise testing after unstable angina.不稳定型心绞痛后的次极量运动试验。
Am Heart J. 1980 Jun;99(6):772-8. doi: 10.1016/0002-8703(80)90628-6.
3
Prognosis of patients with "chest pain ?cause".“胸痛 - 病因不明”患者的预后
Br Med J (Clin Res Ed). 1981 Feb 7;282(6262):431-3. doi: 10.1136/bmj.282.6262.431.
4
Chest pain; heart or gullet?胸痛;是心脏问题还是食管问题?
Br Med J (Clin Res Ed). 1983 Apr 16;286(6373):1231-2. doi: 10.1136/bmj.286.6373.1231.
6
Unstable angina: the case for operation.
Am J Cardiol. 1978 Oct;42(4):634-40. doi: 10.1016/0002-9149(78)90634-3.

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