Sugishita Y, Koseki S, Matsuda M, Oshima M
Jpn Circ J. 1981 Jan;45(1):91-102. doi: 10.1253/jcj.45.91.
This study was performed, i) to compare radionuclide angiocardiography with the other methods, and ii) to evaluate its usefulness in investigating left ventricular performance and its reserve. Radionuclide angiocardiography, chest X-ray film, chest X-ray cinegraphy, echocardiography, two-dimensional echocardiography, pulsed Doppler flowmetry, cardiokymography, myocardial imaging, contrast ventriculography and coronary arteriography were performed (:also at exercise) in 105 subjects including various kinds of cardiac patients. Radionuclide angiocardiography could be performed both at rest and at exercise, contrary to invasive methods. In detailed analysis of left ventricular mechanics in non-ischemic heart disease, echocardiography at rest and at exercise may be appropriate, because of its high image resolution. In evaluation of ischemic heart diseases, radionuclide angiocardiography at rest and at exercise might be appropriate, because of bidirectional informations and its high success rate. Two-dimensional echocardiography with M-mode echocardiography might compensate for it, particularly for continuous informations during exercise. Detection of regional wall motion dysfunction at exercise is more specific than exercise ECG and is more sensitive than exercise myocardial imaging. From many kinds of examinations, appropriate one should be selected according to the purpose of investigators. Much more technical progress in these methods can be expected.
i）比较放射性核素心血管造影与其他方法；ii）评估其在研究左心室功能及其储备方面的实用性。对包括各类心脏病患者在内的105名受试者进行了放射性核素心血管造影、胸部X线片、胸部X线电影摄影、超声心动图、二维超声心动图、脉冲多普勒血流测定、心电图记波图、心肌显像、对比心室造影和冠状动脉造影（:运动时也进行）。与有创方法不同，放射性核素心血管造影可在静息和运动时进行。在非缺血性心脏病左心室力学的详细分析中，静息和运动时的超声心动图可能适用，因为其图像分辨率高。在评估缺血性心脏病时，静息和运动时的放射性核素心血管造影可能适用，因为其具有双向信息且成功率高。二维超声心动图与M型超声心动图相结合可能会弥补这一点，特别是在运动期间获取连续信息方面。运动时检测局部室壁运动功能障碍比运动心电图更具特异性，比运动心肌显像更敏感。应根据研究者的目的从多种检查中选择合适的检查方法。预计这些方法会有更多的技术进步。
