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右心室功能:无创闪烁扫描评估中的方法学及临床考量

Right ventricular function: methodologic and clinical considerations in noninvasive scintigraphic assessment.

作者信息

Manno B V, Iskandrian A S, Hakki A H

出版信息

J Am Coll Cardiol. 1984 Apr;3(4):1072-81. doi: 10.1016/s0735-1097(84)80368-x.

DOI:10.1016/s0735-1097(84)80368-x
PMID:6423715
Abstract

Right ventricular function plays an important role in many cardiac disorders. Changes in left ventricular function, right ventricular afterload and preload, cardiac medications and ischemia may affect right ventricular function. Radionuclide ventriculography permits quantitative assessment of regional and global function of the right ventricle. This assessment can be made at rest, during exercise or after pharmacologic interventions. The overlap between right ventricle and right atrium is a major limitation for gated scintigraphic techniques. The use of imaging with newer short-lived radionuclides may permit more accurate and reproducible assessment of right ventricular function by means of the first pass method. Further work in areas related to improvement of techniques and the impact of right ventricular function on prognosis is needed.

摘要

右心室功能在许多心脏疾病中起着重要作用。左心室功能、右心室后负荷和前负荷的变化、心脏药物及缺血情况都可能影响右心室功能。放射性核素心室造影术可对右心室的局部和整体功能进行定量评估。这种评估可在静息状态、运动期间或药物干预后进行。右心室与右心房的重叠是门控闪烁扫描技术的一个主要限制。使用更新的短寿命放射性核素进行成像,可能通过首次通过法对右心室功能进行更准确且可重复的评估。在与技术改进以及右心室功能对预后的影响相关的领域,还需要进一步开展工作。

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