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[铊-201心肌闪烁扫描术及踏车运动试验在典型心绞痛和非典型疼痛综合征患者中的应用]

[Use of myocardial scintigraphy with Tl-201 and veloergometry in patients with typical stenocardia and atypical pain syndrome].

作者信息

Bukharov S I, Sergienko V B, Maĭorov N I, Solov'ev V V

出版信息

Kardiologiia. 1985 Oct;25(10):100-3.

PMID:4087647
Abstract

The results of myocardial scintigraphy with 201Tl used in combination with bicycle ergometry in 19 patients with typical angina and in 41 patients with an atypical pain syndrome are reported. Possible use of a single 201Tl dose at the peak of exercise is considered. The diagnostic value of myocardial scintigraphy with 201Tl was not basically different from that of conventional bicycle ergometry in patients with typical angina, whereas in cases of an atypical pain syndrome myocardial scintigraphy had an essential advantage over bicycle ergometry, which in this case was associated with a noticeably increased number of uncertain or negative results. Total assessment of the exercise test, using both methods, was found to have a higher diagnostic value in both groups.

摘要

报告了对19例典型心绞痛患者和41例非典型疼痛综合征患者联合使用201铊心肌闪烁扫描和自行车测力计的结果。考虑了在运动高峰时单次使用201铊剂量的可能性。在典型心绞痛患者中,201铊心肌闪烁扫描的诊断价值与传统自行车测力计基本无异,而在非典型疼痛综合征病例中,心肌闪烁扫描相对于自行车测力计具有显著优势,因为在这种情况下,自行车测力计的不确定或阴性结果数量明显增加。发现使用这两种方法对运动试验进行全面评估在两组中均具有更高的诊断价值。

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