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运动及药物负荷试验核素心肌显像诊断冠心病的对比研究 被引量:5

COMPARISON OF EXERCISE AND PHARMACOLOGIC STRESS IN MYOCARDIUM PERFUSION IMAGING FOR CHD
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摘要 运动和药物负荷试验心肌显像可提高诊断冠心病的准确性.方法:我们将运动试验、潘生丁试验及ATP试验心肌显像从检出率、方法学、血液动力学变化和副作用等方面作了比较.结果:3种方法对冠心病的检出率无明显差异(P>0.05).运动试验心肌显像质量好,是一种常用的基本方法,但由于明显增加心率及血压,致心肌耗氧量增加,有一定的危险性.并需特殊的设备.而药物试验方法简单、副作用少、安全,心率加快不如运动试验(P<0.01),血压轻度下降.结论:药物试验可代替运动试验. PURPOSE In order to provide a proper stress test, excercise, dipyridamole and ATP stress were compared in the study.METHODS Three modalities were compared with respect to the detecting rate, methodology, hemodynamic and side effects. RESULTS There are no signficant differences in their ability of detecting coronary heart disease (CHD)(P>0.05).Exercise stress causes an increase in heart rate, blood pressure and myocardium oxygen consumption.Pharmacologic stress cause a slight increase in heart rate, but a decrease in blood pressure (p<0.01).CONCLUSIONS Exercise stress is a basic method with good image quality, but it needs a special equipment.Pharmacologic stress is an easier, cheaper and safer method, particularly useful for patients unable to perform exercise test.
出处 《中华核医学杂志》 CAS CSCD 北大核心 1995年第3期148-150,共3页 Chinese Journal of Nuclear Medicine
关键词 冠心病 心肌显像 放射性核素 运动试验 药物试验 Coronary disease Radionuclide imaging Heart function tests
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