摘要
目的 :为评估彩色室壁运动 (CK)分析技术多巴酚丁胺负荷超声心动图 (CK- DES)对冠状动脉粥样硬化性心脏病 (CHD)节段性室壁运动异常的诊断价值。方法 :采用 CK- DSE检测 5 0例可疑 CHD患者 ,分别于静息 ,多巴酚丁胺低剂量 ,峰剂量及停药后5 min时获取 CK图像 ,每个时间段 4个标准切面 16个节段的 CK图像进行分析 ,室壁运动异常以静息和负荷试验期间出现的室壁运动减弱为标志 ,并与冠状动脉造影 (CAG)结果相对照。结果 :显示 CK- DES诊断 CHD的敏感性为 92 .6 % ,特异性为 78.3% ,准确性为 86 .0 % ,试验中未发现严重不良反应。结论 :CK-
Objective:To evaluate the diagnostic significance o f Color Kinesis-Dobutamine Stress Echocardiography (CK-DSE) detecting regional w all motion abnormality (RWMA) in patients with coronary heart disease (CHD).Methods:Fifty cases with suspected CHD were examinated with CK-DSE. CK images were initially performed at baseline in the parasternal long and short ax is as well as apical four and two-chamber views. Then, the images were repeated at low dose and peak dose and 5 minutes after stopping dobutamine infusion. Results:The sensitivity, specificity and accuracy of CK-DSE diagnosing C HD were 92.6%, 78.3%, and 86.0% respectively, and no complication and significan t arrhythmia were observed. Conclusion:CK-DSE has much diagnostic wor th to assess RWMA in patients with CHD.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2001年第2期99-101,共3页
Journal of Nanjing Medical University(Natural Sciences)
基金
江苏省科委社会发展基金资助项目 (BS980 33)
关键词
冠心病
彩色室壁运动技术
多巴酚丁胺负荷超声心动图
echocardiography
color Kinesis
dobutamine stress ech ocardiography
coronary heart disease
