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二维超声室壁运动异常与冠脉病变范围的关联性(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2001年第3期
页码:
185-187
栏目:
论著
出版日期:
2001-05-01

文章信息/Info

Title:
Analysis of the correlation between wall-motion abnormalities and area of coronary disease applying two-dimensional echocardiography
作者:
苏海砾;  钱蕴秋;  王晓敏;  徐　辉;  田　雪
第四军医大学西京医院超声诊断科, 陕西西安710032
Author(s):
SU Hai-li;  QIAN Yun-qiu;  WANG Xiao-min;  XU Hui;  TIAN Xue
Department of Ultrasonic Diagnosis, Xijing Hospital, Fourth Military University, Xi'an Shaanxi 710033, China
关键词:
超声心动描记术;  冠状动脉造影术;  室壁运动异常
Keywords:
echocardiography;  coronary arteriography;  wall motion abnormalities
分类号:
R179.39
DOI:
-
文献标识码:
A
摘要:
目的 分析心肌梗死患者二维超声室壁运动异常节段分布与冠状动脉损伤间的关系。方法 回顾性分析 92例心梗患者二维超声室壁运动异常节段分布情况 ,并与冠状动脉病变范围进行比较。结果 1冠状动脉梗塞后左前降支 (L AD)受累最为多见 (45 % ) ;2 L AD单支病变与前壁、前间隔及心尖部室壁运动异常有关 (P<0 .0 5 )。 LAD与左回旋支病变 ,主要为前间隔和下壁运动异常 ;而单纯的下壁室壁运动异常多为左旋支与右冠状动脉病变引起。 3支病变造成心肌运动普遍减低 ,且以侧壁及前侧壁的室壁运动异常则更为显著 (P<0 .0 5 )。结论 二维超声心动图室壁运动异常与冠脉病变范围有较好的关联性。
Abstract:
AIM To analyse the correlation of wall motion determined by quantitative ultrasound to the area of coronary disease in patients after myocardial infarction.METHODS 92 patients who had undergone coronary arteriography were studied according to the quantitative ultrasound wall motion analysis.RESULTS ① The left anterior descending branch(LAD)was most likely to be damaged;②The specificity between the wall motion abnormality in A,AS,Apex and single LAD disease was great ( P <0.05);LAD and left circumflex artery (LCX) infarcts could lead to AL and I regional wall-motion abnormalities respectively; contractile function hypokinetic of the single I segment was mostly connected with LCX and righ t coronary artery injuries; patients with whole left ventricular contraction function hypokinetic always suffered from the three-vessel disease. CONCLUTION Two-dimensional echocardiography offers a quantitative analysis of wall-motion abnormalities and it has close relationship with coronary artery stenosis.

参考文献/References

[1] 钱蕴秋. 冠心病超声心动图诊断现状及评价[J]. 中国超声医学杂志, 1995, 11 (8) : 599.

[2] 王新房. 超声心动图学[M]. 第三版. 北京: 人民卫生出版社,1999. 528.

[3] 刘　蔚, 齐国先, 贾大林, 等. 冠心病冠状动脉病变特点及与临床表现的对比分析[J]. 中国实用内科杂志, 1996, 16 (5) : 291.

[4] 钱蕴秋, 李　军, 赵树杰, 等. 冠心病患者二维超声心动图、心电图与冠状动脉造影对照研究[J]. 中华心血管病杂志, 1991, 19(6) : 345.

[5] Shen ZQ, Palma A, Rajachandran M, et al. Prediction of single and multivessel coronary disease in patients after myocardial infarction according to quantitative ultrasound wall-motion analysis[J]. Am Heart J, 1993, 125 (4) : 949.

[6] Aronow WS, Epstein S, Koenigsberg M. Usefulness of echocardiographic left ventricular ejection fraction and silent myocardial inischemia in predicting new coronary events in elderly patients with coronary artery disease or systemic hypertension[J]. Am J Cardiol, 1990, 65 (11) : 811.

备注/Memo

备注/Memo:
收稿日期：2000-09-14.
更新日期/Last Update: 2001-05-01