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选择患有严重左心室功能不全的无症状性心绞痛患者进行心肌血运重建。

Selection of angina-free patients with severe left ventricular dysfunction for myocardial revascularization.

作者信息

Akins C W, Pohost G M, Desanctis R W, Block P C

出版信息

Am J Cardiol. 1980 Oct;46(4):695-700. doi: 10.1016/0002-9149(80)90522-6.

DOI:10.1016/0002-9149(80)90522-6
PMID:7416028
Abstract

Stress thallium-201 myocardial imaging was used in two angina-free patients with severe congestive heart failure to identify clinically silent areas of ischemic myocardium and to distinguish between scar and reversibly ischemic myocardium as a cause for akinesia of left ventricular wall segments. Subsequent myocardial revascularization in these patients led to considerable improvement in their clinical state and findings in postoperative nuclear scans. Thus, stress myocardial imaging may be useful in selecting patients with severe left ventricular failure but no angina pectoris for myocardial revascularization.

摘要

对两名无心绞痛的严重充血性心力衰竭患者进行了负荷铊-201心肌显像,以识别缺血心肌的临床无症状区域,并区分瘢痕和可逆性缺血心肌,作为左心室壁节段运动减弱的原因。这些患者随后进行的心肌血运重建使其临床状态和术后核扫描结果有了显著改善。因此,负荷心肌显像可能有助于选择严重左心室衰竭但无心绞痛的患者进行心肌血运重建。

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Selection of angina-free patients with severe left ventricular dysfunction for myocardial revascularization.选择患有严重左心室功能不全的无症状性心绞痛患者进行心肌血运重建。
Am J Cardiol. 1980 Oct;46(4):695-700. doi: 10.1016/0002-9149(80)90522-6.
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引用本文的文献

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J Nucl Cardiol. 2004 May-Jun;11(3):318-34. doi: 10.1016/j.nuclcard.2004.03.030.
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Hibernating myocardium.冬眠心肌
Heart. 2000 Dec;84(6):587-94. doi: 10.1136/heart.84.6.587.
3
Improved global and regional left ventricular function after angioplasty for chronic coronary occlusion.
Clin Investig. 1994 Jun;72(6):442-7. doi: 10.1007/BF00180518.
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Myocardial scintigraphy--25 years after start.心肌闪烁显像——开始后25年
Eur J Nucl Med. 1988;13(12):619-36. doi: 10.1007/BF00256390.
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Cardiovasc Drugs Ther. 1991 Oct;5(5):877-90. doi: 10.1007/BF00053548.
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Hibernation and myocardial ischemia: clinical detection by positron emission tomography.
Cardiovasc Drugs Ther. 1992 Jun;6(3):273-9. doi: 10.1007/BF00051150.