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[采用无导管核医学方法(心脏摄像电影术)对健康人和心肌梗死患者左心室节段性壁运动的研究]

[Segmental wall movement of the left ventricle in healthy persons and myocardial infarct patients studied by a catheter-less nuclear medical method (camera-cinematography of the heart)].

作者信息

Geffers H, Sigel H, Bitter F, Kampmann H, Stauch M, Adam W E

出版信息

Z Kardiol. 1976 Aug;65(8):680-92.

PMID:788387
Abstract

Camera-Kinematography is a nearly noninvasive method to investigate regional motion of the myocard, and allows evaluation of the function of the heart. About 20 min after injection of 15-20 mCi of 99mTC-Human-Serum-Albumin, when the tracer is distributed homogenously within the bloodpool, data acquisition starts. Myocardial wall motion is represented in an appropriate quasi three-dimensional form. In this representation scars can be revealed as "silent" (akinetic) regions, aneurysms by asynchronic motion. Time activity curves for arbitrarily chosen regions can be calculated and give an equivalent for regional volume changes. 16 patients with an old infarction have been investigated. In fourteen cases the location and extent of regions with abnormal motion could be evaluated. Only two cases of a small posterior wall infarction did not show deviations from normal contraction pattern.

摘要

心脏电影摄影术是一种几乎无创的方法,用于研究心肌的局部运动,并能够评估心脏功能。注射15 - 20毫居里的99m锝 - 人血清白蛋白约20分钟后,当示踪剂在血池内均匀分布时,开始进行数据采集。心肌壁运动以适当的准三维形式呈现。在这种呈现方式中,瘢痕可显示为“静止”(运动不能)区域,动脉瘤则表现为异步运动。可以计算任意选定区域的时间 - 活性曲线,并得出区域容积变化的等效值。对16例陈旧性梗死患者进行了研究。在14例中,可以评估运动异常区域的位置和范围。只有2例小面积后壁梗死未显示出与正常收缩模式的偏差。

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