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|本期目录/Table of Contents|

潘生丁食管心房调搏超声心动图复合试验(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1998年第2期
页码:
77-79
栏目:
论著
出版日期:
1998-03-01

文章信息/Info

Title:
Usefulness of stress test of combined dipyridamole and transesophageal atrial stimulation with echocardiography early after acutemyocardial infarction
作者:
王明空　李春生　岳全廷　黄元海　魏　平　孙中华　徐红岩　胡淑贞
解放军152医院　平顶山 467000
Author(s):
ang Mingkong ;  Li Chunsheng ;  Yue Quanting ;  Huang Yuanhai;  Wei Ping ;  Sun Zhong hua;  Xu Hongyan;  Hu Shuzhen
Hospital 152, PLA , Pingdingshan 467000
关键词:
心肌梗死;  无并发症　超声心动描记术　潘生丁　心房调搏法;  食管
Keywords:
myocardial infarction;  uncomplicated 　echocardiography 　dipyridamole 　tansesophageal atrial stimulation
分类号:
-
DOI:
-
文献标识码:
-
摘要:
以冠状动脉造影结果为标准, 对60例无并发症的急性心肌梗死患者, 分别在梗死后的1周与2周, 行食管心房调搏超声心动图(TEE) 与潘生丁超声心动图(DPE) 及潘生丁食管心房调搏超声心动图(DP-TEE) 试验, 以评价其检测多支冠脉血管病变的价值。发现DP-TEE 的敏感度为79%、特异度为87%、准确度为83% , 而DPE及TEE敏感度为59% 及52%、特异度为87% 及87%、准确度为73% 及70%。试验中未发现严重不良反应。结果显示DP-TEE 可安全地用于首次无并发症的心肌梗死患者, 预测急性心肌梗死后新的缺血事件的发生, 筛选高危病人, 以便及早采取有效的预防及治疗措施, 改善预后。
Abstract:
In this study the result of coronary artery angiography was as the standard. The stress test of combined dipyridamole and transesophageal atrial stimulation with echocardiography, the stress test of combined dipyridamole with echocardiography (DPE) and the stress test of transesophageal atrial stimulation with echocardiography (TEE) were performed in 60 patients with uncomplicated acute myocardial infarction, on the seventh day and the fourteenth day after infarct ion. This program was conducted for the purpose of assessing the detecting multivessel coronary disease. It was found that the sensitivity of DP-TEE was 79% , the specificity 87% and the accuracy 83% , whereas the sensitivity, specificity and the accuracy of DPE was 59% , 87% and 73% ,respectively, and the sensitivity specificity and accuracy of TEE was 52% , 87% , and 70% , respectively. No serious side effect was discovered. The result showed that DP-TEE test is safe in the patients with uncomplicated acute myocardial infarction onset for the first time to predict new ischemic events. We can select high-risk patients to take the effective measures in treatment and prevention. Prognosis of the patients can be improved.

参考文献/References

［1］Norris RM , Baruaby PF, Brand PWT. Prognosis after recovery from first acute myocardial infarct ion, determinanls of reinfarction and sudden death. Am J Cardiol,1984; 53 (3) : 408.

［2］Ken G, Visser CA , Koolen JJ , et al. Short and long term predictive value of admission wall motion score in acute myocardial infarction. Br Heart J , 1986; 56: 422.

［3］Picano E. Dipyridamole-echocardiography test in effort angina pectors. Am J Cardiol, 1985; 56 (3) : 452.

［4］Morganroth J . Exercise cross-sectional echocardiographic diagnosis of coronary artery disease. Am J Cardiol, 1981; 47 (1) : 20 .

［5］张树彬, 陈宇华, 王寅时, 等. 潘生丁-二维超声心动图试验对冠心病诊断的评价. 中华心血管病杂志, 1990;18 (5) : 293.

［6］Picano E. Comparison of the high-dose dipyridamole-echocardiography test and exercise two-dimensional echocardiography for diagnosis of coronary artery disease. Am J Cardiol, 1987; 59 (4) : 349.

［7］Josephson MA. Noninvasive detection and localization of coronary stenoses in patients: Comparison of resting dipyridamole and exercise thallium-201 myocardial perfusion imaging AM Heart J , 1982; 103: 1088.

备注/Memo

备注/Memo:
(收稿1997-05-04　修回1997-11-24)
更新日期/Last Update: 1998-03-01