临床实践中的多巴酚丁胺负荷超声心动图及近期文献综述。
Dobutamine stress echocardiography in clinical practice with a review of the recent literature.
作者信息
Barasch E, Wilansky S
机构信息
Department of Adult Cardiology, Texas Heart Institute, Houston.
出版信息
Tex Heart Inst J. 1994;21(3):202-10.
Abstract
Stress echocardiography has been developed in recent years as an effective noninvasive test for the detection and assessment of coronary artery disease. This method combines exercise with 2-dimensional echocardiography, which can assess regional and global left ventricular function during stress. Dobutamine infusion, a pharmacologic means of producing cardiovascular stress, appears to be an excellent alternative to exercise in echocardiographic studies. Currently, it is reserved for patients who cannot exercise at a meaningful level because of advanced age, physical deconditioning, or other factors. This review evaluates the current clinical application of dobutamine stress echocardiography and compares its efficacy with that of exercise echocardiography and nuclear perfusion imaging.
摘要
近年来，负荷超声心动图已发展成为一种用于检测和评估冠状动脉疾病的有效的非侵入性检查方法。该方法将运动与二维超声心动图相结合，能够在负荷状态下评估局部和整体左心室功能。多巴酚丁胺输注作为一种产生心血管负荷的药理学手段，在超声心动图研究中似乎是运动的一种极佳替代方法。目前，它适用于因高龄、身体状况不佳或其他因素而无法进行有效运动的患者。本综述评估了多巴酚丁胺负荷超声心动图的当前临床应用，并将其疗效与运动超声心动图和核灌注成像的疗效进行比较。
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Dobutamine stress echocardiography for assessment of perioperative cardiac risk in patients undergoing major vascular surgery.多巴酚丁胺负荷超声心动图用于评估接受大血管手术患者的围手术期心脏风险。
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Dobutamine stress echocardiography: prevalence of a nonischemic response in a low-risk population.
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Selection of the optimal nonexercise stress for the evaluation of ischemic regional myocardial dysfunction and malperfusion. Comparison of dobutamine and adenosine using echocardiography and 99mTc-MIBI single photon emission computed tomography.选择用于评估缺血性局部心肌功能障碍和灌注不良的最佳非运动负荷试验。使用超声心动图和99mTc-甲氧基异丁基异腈单光子发射计算机断层扫描比较多巴酚丁胺和腺苷。
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Value of rest thallium-201/technetium-99m sestamibi scans and dobutamine echocardiography for detecting myocardial viability.静息铊-201/锝-99m 甲氧基异丁基异腈心肌灌注显像及多巴酚丁胺超声心动图检测心肌存活的价值。
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Assessment of thallium scintigraphy and echocardiography during dobutamine infusion for the detection of coronary artery disease.
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Demonstration of functional border zone with myocardial contrast echocardiography in human hearts. Simultaneous analysis of myocardial perfusion and wall motion abnormalities.人类心脏中应用心肌对比超声心动图显示功能边界区。心肌灌注与室壁运动异常的同步分析。
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