• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

超声心动图评估冠状动脉微血管功能障碍：基本概念、技术方面和临床环境。

Echocardiographic assessment of coronary microvascular dysfunction: Basic concepts, technical aspects, and clinical settings.

机构信息

Department of Cardiology, University of Campania "Luigi Vanvitelli", Naples, Italy.

Department of Cardiology and Intensive Coronary Unit, "Umberto I" Hospital, Nocera Inferiore (SA), Italy.

出版信息

Echocardiography. 2021 Jun;38(6):993-1001. doi: 10.1111/echo.15059. Epub 2021 May 5.

DOI:10.1111/echo.15059
PMID:33948990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8252466/
Abstract

Coronary flow reserve is the capacity of the coronary circulation to augment the blood flow in response an increase in myocardial metabolic demands and has a powerful prognostic significance in different clinical situations. It might assess with invasive and noninvasive technique. Transthoracic echocardiography Doppler is an emerging diagnostic technique, noninvasive, highly feasible, safe for patient and physician, without radiation, and able to detect macrovascular and microvascular anomalies in the coronary circulation. This review aims to describe the benefit and limits of echocardiographic assessment of coronary flow reserve.

摘要

冠状动脉血流储备是指冠状动脉循环增加心肌代谢需求时的血液流量的能力，在不同的临床情况下具有强大的预后意义。它可以通过有创和无创技术进行评估。经胸超声心动图多普勒是一种新兴的诊断技术，具有非侵入性、高度可行性、对患者和医生安全、无辐射、能够检测冠状动脉循环中的大血管和微血管异常等优点。本文旨在描述超声心动图评估冠状动脉血流储备的优势和局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4d/8252466/c29871dac9e5/ECHO-38-993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4d/8252466/1eea82a85937/ECHO-38-993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4d/8252466/c7909b605971/ECHO-38-993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4d/8252466/c29871dac9e5/ECHO-38-993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4d/8252466/1eea82a85937/ECHO-38-993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4d/8252466/c7909b605971/ECHO-38-993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4d/8252466/c29871dac9e5/ECHO-38-993-g003.jpg

相似文献

1
Echocardiographic assessment of coronary microvascular dysfunction: Basic concepts, technical aspects, and clinical settings.超声心动图评估冠状动脉微血管功能障碍：基本概念、技术方面和临床环境。
Echocardiography. 2021 Jun;38(6):993-1001. doi: 10.1111/echo.15059. Epub 2021 May 5.
2
Echocardiographic assessment of primary microvascular angina and primary coronary microvascular dysfunction.超声心动图评估原发性微血管心绞痛和原发性冠状动脉微血管功能障碍。
Trends Cardiovasc Med. 2023 Aug;33(6):369-383. doi: 10.1016/j.tcm.2022.02.007. Epub 2022 Feb 19.
3
New noninvasive diagnosis of myocardial ischemia of the left circumflex coronary artery using coronary flow reserve measurement by transthoracic Doppler echocardiography: comparison with thallium-201 single photon emission computed tomography.经胸多普勒超声心动图测量冠状动脉血流储备对左旋支冠状动脉心肌缺血的新型无创诊断：与铊-201单光子发射计算机断层扫描的比较
J Cardiol. 2004 Mar;43(3):109-16.
4
Subclinical impairment of coronary flow velocity reserve assessed by transthoracic echocardiography in young renal transplant recipients.经胸超声心动图评估年轻肾移植受者冠状动脉血流速度储备的亚临床损害
Atherosclerosis. 2009 Jun;204(2):435-9. doi: 10.1016/j.atherosclerosis.2008.09.036. Epub 2008 Oct 11.
5
Transthoracic Doppler echocardiography - noninvasive diagnostic window for coronary flow reserve assessment.经胸多普勒超声心动图——用于评估冠状动脉血流储备的无创诊断窗口。
Cardiovasc Ultrasound. 2003 Apr 11;1:4. doi: 10.1186/1476-7120-1-4.
6
Assessment of coronary blood flow and the reactivity of the microcirculation non-invasively with transthoracic echocardiography.经胸超声心动图对冠状动脉血流和微循环反应性的无创评估。
Clin Physiol Funct Imaging. 2008 May;28(3):145-55. doi: 10.1111/j.1475-097X.2008.00794.x. Epub 2008 Feb 26.
7
Noninvasive evaluation of flow reserve in the left anterior descending coronary artery in patients with cardiac syndrome X.心脏综合征X患者左前降支冠状动脉血流储备的无创评估
Am J Cardiol. 2007 May 15;99(10):1378-83. doi: 10.1016/j.amjcard.2006.12.070. Epub 2007 Mar 28.
8
Non-invasive assessment of coronary flow and coronary flow reserve by transthoracic Doppler echocardiography: a magic tool for the real world.经胸多普勒超声心动图对冠状动脉血流及冠状动脉血流储备的无创评估：现实世界中的神奇工具。
Eur J Echocardiogr. 2008 Jul;9(4):449-57. doi: 10.1093/ejechocard/jen004. Epub 2008 Feb 19.
9
New insights to the potential mechanisms driving coronary flow reserve impairment in Cushing's syndrome: A pilot noninvasive study by transthoracic Doppler echocardiography.探讨库欣综合征患者冠状动脉血流储备受损潜在机制的新见解：经胸多普勒超声心动图的一项初步非侵入性研究。
Microvasc Res. 2020 Mar;128:103940. doi: 10.1016/j.mvr.2019.103940. Epub 2019 Oct 31.
10
Transthoracic Doppler echocardiographic assessment of left anterior descending coronary artery and intramyocardial small coronary artery flow in patients with hypertrophic cardiomyopathy.肥厚型心肌病患者经胸多普勒超声心动图对左前降支冠状动脉及心肌内小冠状动脉血流的评估
J Cardiol. 2001;37 Suppl 1:115-20.

引用本文的文献

1
Inverse association between pre-high-altitude potassium levels and coronary microvascular disease at high altitude: a case-control study.高原前血钾水平与高原地区冠状动脉微血管疾病之间的负相关：一项病例对照研究。
Front Pharmacol. 2025 Aug 21;16:1659041. doi: 10.3389/fphar.2025.1659041. eCollection 2025.
2
Ischemia with no obstructed coronary arteries and microvascular testing procedures: a review of utility, pharmacotherapy, and current challenges.无阻塞性冠状动脉的缺血与微血管检测程序：效用、药物治疗及当前挑战综述
Front Cardiovasc Med. 2025 Feb 18;12:1523352. doi: 10.3389/fcvm.2025.1523352. eCollection 2025.
3

本文引用的文献

1
Exercise stress echocardiography with ABCDE protocol in unexplained dyspnoea.采用 ABCDE 方案行运动负荷超声心动图检查不明原因呼吸困难。
Int J Cardiovasc Imaging. 2020 May;36(5):823-831. doi: 10.1007/s10554-020-01789-6. Epub 2020 Feb 8.
2
Functional, Anatomical, and Prognostic Correlates of Coronary Flow Velocity Reserve During Stress Echocardiography.在应激超声心动图检查中，冠状动脉血流储备的功能、解剖和预后相关性。
J Am Coll Cardiol. 2019 Nov 5;74(18):2278-2291. doi: 10.1016/j.jacc.2019.08.1046.
3
Cardiovascular Imaging Techniques to Assess Microvascular Dysfunction.
Coronary Microvascular Dysfunction and Hypertension: A Bond More Important than We Think.
冠状动脉微血管功能障碍与高血压：比我们想象的更紧密的联系。
Medicina (Kaunas). 2023 Dec 11;59(12):2149. doi: 10.3390/medicina59122149.
4
Endothelial cell dysfunction in cardiac disease: driver or consequence?心脏病中的内皮细胞功能障碍：是驱动因素还是结果？
Front Cell Dev Biol. 2023 Oct 25;11:1278166. doi: 10.3389/fcell.2023.1278166. eCollection 2023.
5
A nomogram for predicting echocardiogram prescription in outpatients: an analysis of the NAMCS database.用于预测门诊患者超声心动图检查处方的列线图：对美国国家门诊医疗调查（NAMCS）数据库的分析
Front Cardiovasc Med. 2023 Oct 16;10:1183504. doi: 10.3389/fcvm.2023.1183504. eCollection 2023.
6
Hypertrophic Cardiomyopathy: Genetic Foundations, Outcomes, Interconnections, and Their Modifiers.肥厚型心肌病：遗传基础、结局、相互关系及其修饰因素。
Medicina (Kaunas). 2023 Aug 4;59(8):1424. doi: 10.3390/medicina59081424.
7
Multiparametric Stress Echocardiography in the Diagnosis of IOCA and INOCA: Role of CFVR Measurement.多参数负荷超声心动图在隐匿性缺血性心肌病（IOCA）和隐匿性冠心病（INOCA）诊断中的应用：冠状动脉血流储备（CFVR）测量的作用
JACC Case Rep. 2023 Jul 4;19:101941. doi: 10.1016/j.jaccas.2023.101941. eCollection 2023 Aug 2.
8
Coronary Flow Assessment in an Adult with Anomalous Left Coronary Arising from the Pulmonary Artery.一名左冠状动脉起源于肺动脉的成人患者的冠状动脉血流评估
CASE (Phila). 2022 Nov 11;7(2):49-53. doi: 10.1016/j.case.2022.10.002. eCollection 2023 Feb.
9
Coronary Microvascular Disease.冠状动脉微血管疾病
Cardiol Ther. 2022 Mar;11(1):23-31. doi: 10.1007/s40119-021-00250-6. Epub 2022 Jan 7.
评估微血管功能障碍的心血管成像技术。
JACC Cardiovasc Imaging. 2020 Jul;13(7):1577-1590. doi: 10.1016/j.jcmg.2019.09.006. Epub 2019 Oct 11.
4
Coronary microvascular dysfunction, left ventricular remodeling, and clinical outcomes in aortic stenosis.冠状动脉微血管功能障碍、左心室重构与主动脉瓣狭窄的临床转归。
J Nucl Cardiol. 2021 Apr;28(2):579-588. doi: 10.1007/s12350-019-01706-y. Epub 2019 May 1.
5
Integration of Wall Motion, Coronary Flow Velocity, and Left Ventricular Contractile Reserve in a Single Test: Prognostic Value of Vasodilator Stress Echocardiography in Patients with Diabetes.单一测试中壁运动、冠状动脉血流速度和左心室收缩储备的整合：血管扩张剂负荷超声心动图在糖尿病患者中的预后价值。
J Am Soc Echocardiogr. 2018 Jun;31(6):692-701. doi: 10.1016/j.echo.2017.11.019. Epub 2018 Apr 3.
6
International standardization of diagnostic criteria for microvascular angina.微血管性心绞痛诊断标准的国际化。
Int J Cardiol. 2018 Jan 1;250:16-20. doi: 10.1016/j.ijcard.2017.08.068. Epub 2017 Sep 8.
7
Incremental Value of Transthoracic Doppler Echocardiography-Assessed Coronary Flow Reserve in Patients With Suspected Myocardial Ischemia Undergoing Myocardial Perfusion Scintigraphy.经胸多普勒超声心动图评估的冠状动脉血流储备在接受心肌灌注闪烁扫描的疑似心肌缺血患者中的增量价值。
J Am Heart Assoc. 2017 Apr 18;6(4):e004875. doi: 10.1161/JAHA.116.004875.
8
Current perspectives in coronary microvascular dysfunction.冠状动脉微血管功能障碍的当前观点
Microcirculation. 2017 Jan;24(1). doi: 10.1111/micc.12340.
9
Coronary microcirculatory pathophysiology: can we afford it to remain a black box?冠状动脉微循环病理生理学：我们能任由它继续是个黑匣子吗？
Eur Heart J. 2017 Feb 14;38(7):478-488. doi: 10.1093/eurheartj/ehv760.
10
Myocardial perfusion echocardiography and coronary microvascular dysfunction.心肌灌注超声心动图与冠状动脉微血管功能障碍
World J Cardiol. 2015 Dec 26;7(12):861-74. doi: 10.4330/wjc.v7.i12.861.