Sacher M L, Siskind S J, Boal B H
Am J Med. 1986 Jun;80(6):1205-7. doi: 10.1016/0002-9343(86)90689-3.
Serial gated radionuclide angiocardiography was used to demonstrate partial reversal of alcoholic cardiomyopathy, following abstention from alcohol. Six months subsequent to total abstention, the resting ejection fraction, which is a sensitive index of left ventricular function, increased from 19 percent to 42 percent. Thirteen months following total abstention, the resting ejection fraction was preserved at 40 percent. During stress, the ejection fraction increased to 53 percent. The clinical implication of this case report is that gated radionuclide angiocardiography may be used to noninvasively evaluate accurately the subsequent course of reversible alcoholic cardiomyopathy.
采用连续门控放射性核素心血管造影术来证实戒酒之后酒精性心肌病的部分逆转情况。完全戒酒六个月后,作为左心室功能敏感指标的静息射血分数从19%升至42%。完全戒酒十三个月后,静息射血分数维持在40%。在应激状态下,射血分数增至53%。该病例报告的临床意义在于,门控放射性核素心血管造影术可用于无创且准确地评估可逆性酒精性心肌病的后续病程。