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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

Multiparametric Stress Echocardiography in the Diagnosis of IOCA and INOCA: Role of CFVR Measurement.

作者信息

Kardos Attila, Soulis Dimitrios, Becher Harald

机构信息

Department of Cardiology, Translational Cardiovascular Research Group, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, United Kingdom.

Faculty of Medicine and Health Sciences, University of Buckingham, Buckingham, UK.

出版信息

JACC Case Rep. 2023 Jul 4;19:101941. doi: 10.1016/j.jaccas.2023.101941. eCollection 2023 Aug 2.

DOI:10.1016/j.jaccas.2023.101941
PMID:37593587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10429733/
Abstract

We present assessment of chest pain patients by multiparametric dobutamine stress echocardiography to differentiate inducible ischemia with obstructive coronary artery disease and with no obstructive coronary artery disease. In addition to the classical regional wall motion abnormality, we illustrate how coronary flow velocity reserve by Doppler echocardiography assists diagnosing coronary microvascular dysfunction. ().

摘要

我们通过多参数多巴酚丁胺负荷超声心动图对胸痛患者进行评估，以鉴别阻塞性冠状动脉疾病和非阻塞性冠状动脉疾病所致的可诱导性缺血。除了经典的节段性室壁运动异常外，我们还阐述了多普勒超声心动图测定的冠状动脉血流储备如何有助于诊断冠状动脉微血管功能障碍。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/cf5d036c0dee/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/cf5d036c0dee/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/77342aed67fb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/d8b8e6303cde/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/27f4452993ea/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/f6c5f29c6a0a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/d69496d62d54/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/60567b9c99e0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/a6678c431bf9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/c77b195b037f/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/ffc786f81032/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/f2f44a08ab8f/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/f4a69f534fa1/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/9f98d622ad75/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/44cba2d4bcf9/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/368c8be2fe3b/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/cf5d036c0dee/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/cf5d036c0dee/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/77342aed67fb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/d8b8e6303cde/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/27f4452993ea/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/f6c5f29c6a0a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/d69496d62d54/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/60567b9c99e0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/a6678c431bf9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/c77b195b037f/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/ffc786f81032/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/f2f44a08ab8f/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/f4a69f534fa1/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/9f98d622ad75/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/44cba2d4bcf9/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/368c8be2fe3b/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b77d/10429733/cf5d036c0dee/gr15.jpg

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本文引用的文献

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2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR 胸痛评估与诊断指南：美国心脏病学会/美国心脏协会联合临床实践指南委员会的报告。
J Am Coll Cardiol. 2021 Nov 30;78(22):e187-e285. doi: 10.1016/j.jacc.2021.07.053. Epub 2021 Oct 28.
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Real-world performance and accuracy of stress echocardiography: the EVAREST observational multi-centre study.超声心动图负荷试验的真实世界表现和准确性：EVAREST 观察性多中心研究。
Eur Heart J Cardiovasc Imaging. 2022 Apr 18;23(5):689-698. doi: 10.1093/ehjci/jeab092.
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Echocardiographic assessment of coronary microvascular dysfunction: Basic concepts, technical aspects, and clinical settings.
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Echocardiography. 2021 Jun;38(6):993-1001. doi: 10.1111/echo.15059. Epub 2021 May 5.
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An EAPCI Expert Consensus Document on Ischaemia with Non-Obstructive Coronary Arteries in Collaboration with European Society of Cardiology Working Group on Coronary Pathophysiology & Microcirculation Endorsed by Coronary Vasomotor Disorders International Study Group.一份由欧洲心脏病学会冠状动脉病理生理学与微循环工作组合作完成，并经冠状动脉血管舒缩障碍国际研究组认可的关于非阻塞性冠状动脉缺血的欧洲经皮心血管介入学会专家共识文件。
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