[应用¹²³I-BMIPP心肌显像检测不稳定型心绞痛患者中与心绞痛相关的冠状动脉]
[Detection of angina-related coronary artery in patients with unstable angina pectoris by using 123I-BMIPP myocardial scintigraphy].
作者信息
Oka T, Kobayashi H, Inoue S, Asano R, Handa A, Iguchi N, Sumiyoshi T, Kusakabe K, Hosoda S
机构信息
Department of Cardiology, Tokyo Women's College Hospital, Japan.
出版信息
Kaku Igaku. 1996 Mar;33(3):279-84.
To evaluate the diagnostic accuracy of detection of angina-related coronary arteries in patients with unstable angina pectoris. Twenty patients with unstable angina pectoris underwent 123I-BMIPP scintigraphy at rest. A mean duration from last anginal attack to 123I-BMIPP scintigraphy was 408 +/- 3.2 days. Seventeen of 20 angina-related coronary territories were detected by reduced 123I-BMIPP uptake. The sensitivity and specificity for detection of angina-related coronary arteries were 85% and 95%, respectively. The decrease in myocardial uptake of 123I-BMIPP agreed with the decrease in regional wall motion by using ultrasonic echocardiography. 123I-BMIPP scintigraphy may be useful for detection of angina-related coronary artery in a routine clinical examination in patients with unstable angina pectoris.
评估不稳定型心绞痛患者中与心绞痛相关冠状动脉检测的诊断准确性。20例不稳定型心绞痛患者在静息状态下接受了¹²³I - BMIPP心肌显像。从上一次心绞痛发作至¹²³I - BMIPP心肌显像的平均时间为408±3.2天。20例中17例与心绞痛相关的冠状动脉区域通过¹²³I - BMIPP摄取降低得以检测出。检测与心绞痛相关冠状动脉的敏感性和特异性分别为85%和95%。¹²³I - BMIPP心肌摄取的降低与超声心动图检测的节段性室壁运动降低相符。¹²³I - BMIPP心肌显像可能有助于在不稳定型心绞痛患者的常规临床检查中检测与心绞痛相关的冠状动脉。
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