Hör G, Kanemoto N
Nuklearmedizin. 1981 Jun;20(3):136-47.
This review is concerned with qualitative and quantitative sectorial 201Tl-redistribution analysis of exercise myocardial scintigraphy (EMS). In 3092 cases the sensitivity (specificity) was on average 83 (90) %, the average CAD prevalence being 71%. Sensitivity (Se) for EMS (ExECG) increased from 73 (43) % in single vessel disease through 83 (69) % in double vessel to 90(77) % in triple vessel disease (n = 879); average Se was 77% for LAD-, 79% for RCA- and 65% for LCX-stenosis. Se for detection of the real extension of CAD conversely decreased from 59% in SVD through 41% in DVD down to 33% in TVD. Clinical recommendations for EMS and rest scans are outlined in CAD (atypical angina, follow-up after bypass-surgery, percutaneous transluminal angioplasty), in non-coronary artery disease (non-ischemic cardiomyopathies, right ventricular hypertrophy) and in pediatric cardiology.
本综述涉及运动心肌闪烁显像（EMS）的定性和定量局部201Tl再分布分析。在3092例病例中，敏感性（特异性）平均为83（90）%，平均CAD患病率为71%。EMS（ExECG）的敏感性（Se）从单支血管病变时的73（43）%，增加到双支血管病变时的83（69）%，再到三支血管病变时的90（77）%（n = 879）；左前降支（LAD）狭窄的平均Se为77%，右冠状动脉（RCA）狭窄为79%，左回旋支（LCX）狭窄为65%。相反，检测CAD实际范围的Se从单支血管病变时的59%，降至双支血管病变时的41%，再降至三支血管病变时的33%。文中概述了针对CAD（非典型心绞痛、搭桥手术后随访、经皮腔内血管成形术）、非冠状动脉疾病（非缺血性心肌病、右心室肥厚）以及儿科心脏病学中EMS和静息扫描的临床建议。
