Tardieu A, Virot P, Vandroux J C, Vergnoux H, Pinaud D, Chabanier A, Bensaid J
Postgrad Med J. 1986;62 Suppl 1:38-41.
Nine patients with coronary insufficiency were investigated using an exercise test coupled with quantitative myocardial tomoscintigraphy with thallium-201 before and after 48 hours' treatment with captopril. After captopril treatment, an improvement in ST segment depression was noted during exercise. The quantitative tomoscintigraphy showed a reduction in the ischaemic zone with captopril during exercise. However, in three patients, although there was an overall improvement in myocardial perfusion during exercise, aggravation of wash-out was observed in some regions, reminiscent of a coronary steal effect.
对9例冠状动脉供血不足患者在使用卡托普利治疗48小时前后，进行了运动试验结合定量心肌铊-201断层闪烁扫描检查。卡托普利治疗后，运动期间ST段压低情况有所改善。定量断层闪烁扫描显示，运动时使用卡托普利使缺血区缩小。然而，有3例患者，尽管运动期间心肌灌注总体有所改善，但在某些区域观察到洗脱加剧，这让人联想到冠状动脉窃血效应。
