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双嘧达莫锝-99m心肌显像与双嘧达莫心电图在检测冠状动脉疾病中的比较

[Comparison of dipyridamole Tc-99m myocardial imaging with dipyridamole electrocardiogram in detecting coronary artery disease].

作者信息

Yang Z J, Wang J Y, Gao B S

机构信息

Department of Cardiology, Beijing People's Hospital, Beijing Medical University.

出版信息

Zhonghua Nei Ke Za Zhi. 1993 Nov;32(11):736-8.

PMID:8137651
Abstract

The authors compared the results of dipyridamole myocardial-SPECT (D-ECT) with dipyridamole electrocardiogram (D-ECG) in detecting coronary artery disease (CAD). According to the result of coronary artery angiogram. We analysed the results of D-ECT and D-ECG in 62 patients. In detecting CAD, the sensitivity and specificity of D-ECT were 89%, and 92%, while those of D-ECG were 54% and 76% respectively. In detecting single double, triple vessel diseases, the sensitivity of D-ECT was 76%, 100% and 100% respectively. The sensitivity of D-ECG was 35%, 73% and 67% respectively. In identifying left anterior descending, left circumflex and right coronary artery, the sensitivity of D-ECT was 73%, 80% and 80% respectively, while that of D-ECG was 54%, 20% and 25% respectively. The results showed that D-ECT was better than D-ECG in diagnosing CAD.

摘要

作者比较了双嘧达莫心肌单光子发射计算机断层扫描(D-ECT)与双嘧达莫心电图(D-ECG)在检测冠状动脉疾病(CAD)方面的结果。根据冠状动脉造影结果。我们分析了62例患者的D-ECT和D-ECG结果。在检测CAD时,D-ECT的敏感性和特异性分别为89%和92%,而D-ECG的敏感性和特异性分别为54%和76%。在检测单支、双支、三支血管病变时,D-ECT的敏感性分别为76%、100%和100%。D-ECG的敏感性分别为35%、73%和67%。在识别左前降支、左旋支和右冠状动脉时,D-ECT的敏感性分别为73%、80%和80%,而D-ECG的敏感性分别为54%、20%和25%。结果表明,在诊断CAD方面,D-ECT优于D-ECG。

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