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|本期目录/Table of Contents|

心肌微循环障碍评估方法的研究进展

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2017年第1期
页码:
112-115
栏目:
综述
出版日期:
2016-10-05

文章信息/Info

Title:
Progress of assessment methods on myocardial microcirculation dysfunction
作者:
郭 欣1; 2; 刘海涛1; 李 飞1
(1.第四军医大学西京医院心血管内科，陕西 西安 710032；
2.解放军第五三一医院心血管内科，吉林 通化 134002)
Author(s):
GUO Xin1; 2;  LIU Hai-tao1;  LI Fei1
(1.Department of Cardiology, Xijing Hospital of Fourth Military University, Xi’an 710032, Shaanxi, China；
2.Department of Cardiology, PLA 531 Hospital, Tonghua 134002, Jilin, China)
关键词:
心肌微循环; 冠状动脉血流储备分数; 心肌声学造影; 冠状动脉微循环阻力指数
Keywords:
myocardial microcirculation;  fractional flow reserve;  myocardial contrast echocardiography;  index of microcirculatory resistance
分类号:
R542.2
DOI:
-
文献标识码:
A
摘要:
近年来冠心病发病率和死亡率呈逐年上升趋势，随着经皮冠状动脉介入治疗的普及和冠脉慢血流现象的认识，心肌微循环障碍日益受到临床医生的关注。目前评估心肌微循环障碍的方法主要有冠状动脉血流储备分数、心肌声学造影、心肌磁共振成像及冠脉微循环阻力指数（IMR）,但上述方法各有一定的局限性，部分指标特异性及敏感性有待于询证医学的进一步验证，本文对心肌微循环障碍的评估方法及研究进展做一综述。
Abstract:
In recent years, morbidity and mortality of coronary heart disease has been increasing. With the popularization of percutaneous coronary intervention and the understanding of the coronary slow flow phenomenon, myocardial microcirculation is an increasing concern of clinicians. At present, methods of assessing myocardial microcirculation include fractional flow reserve, myocardial contrast echocardiography, magnetic resonance imaging, and indexing of microcirculatory resistance. However, existing methods have their own limitations and some indicators are necessary to be further verified in terms of specificity and sensitivity. In this article, we review the progress of assessment methods on myocardial microcirculation dysfunction.

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备注/Memo

备注/Memo:
收稿日期：2015-12-14.
通讯作者：李飞，副教授，主要从事冠心病的基础及临床研究 Email:lifei01@fmmu.edu.cn
作者简介：郭欣，主治医师，硕士生 Email:guoxin0537@163.com
更新日期/Last Update: 2016-10-09