[1]田月琴.核素显像鉴别缺血性和扩张性心肌病的综合评价[J].国际放射医学核医学杂志,2000,24(1):7-10.
　TIAN Yue-qin.Comprehensive evaluation of radionuclide techniques in differentiating dilated cardiomyopathy and ischemic cardiomyopathy[J].International Journal of Radiation Medicine and Nuclear Medicine,2000,24(1):7-10.
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
24
期数:
2000年第1期
页码:
7-10
栏目:
综述
出版日期:
1900-01-01

文章信息/Info

Title:
Comprehensive evaluation of radionuclide techniques in differentiating dilated cardiomyopathy and ischemic cardiomyopathy
作者:
田月琴
100037 北京, 中国医学科学院协和医科大学心血管病研究所, 阜外心血管病医院核医学科
Author(s):
TIAN Yue-qin
Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC, Beijing 100037, China
关键词:
心肌病; 扩张性; 心肌病; 缺血性; 放射性核素显像; 鉴别诊断
Keywords:
cardiomyopathy;  dilated; cardiomyopathy;  ischemic; radionuclide imaging; differentiate diagnosis
分类号:
R817.4
摘要:
介绍了核素心肌灌注、心肌代谢、核素心室显像在缺血性心肌病(CAD-CM)和扩张性心肌病(DCM)鉴别诊断中的意义。扩张性心肌病患者心肌灌注显像多表现为放射性分布不均匀,无灌注缺损,代谢显像常与灌注显像一致,核素心室显像表现为弥漫性的室壁运动异常。缺血笥心肌病患者心肌灌注显像多表现严重的灌注异常,有灌注缺损且呈节段性分布,灌注与代谢显像不匹配多见,核素心室显像表现为节段性的定壁运动减低。
Abstract:
This study analyzed significanc of radionuclide technique in differentiating dilated cardiomyopathy (DCM) from ischemic cardiomyoparthy (CAD-CM). The patients with DCM usually show mild perfusion abnormalities and do not have perfusion defects. Perfusion imaging and metabolic imaging is concordant in most patients and reduced wall motion is typically diffuse in DCM.The majority of patients with CAD-CM have perfusion defects and distributed as segmental. The perfusion imaging and metabolic imaging of patients with CAD-CM generally show mismatch and the wall motion abnormality is segmental.

参考文献/References:

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[6] Coimenares T, Alexanderson E, Varguez V, et al. Utility of perfusion SPECT study to differentiate between ischemic and nonischemic cardiomyopathy[J]. J Nucl Cardiol, 1999, 6:S3.
[7] Mody FV, Brunken RC, Stevenson LW, et al. Differentiating cardiomyopathy of coronary artery disease from nonischemic dilated cardiomyopathy utilization Positron Emission Tomography[J]. J Am Coll Cardiol, 1991, 17:373~383.
[8] Boffa GM, Zanco P, Valentina PO, et al. Positron emission tomography is a useful screeing tool in dilated cardiomyopath[J]. Eur Heart J, 1998, 19:Supplement V~Viii 642.
[9] Dicarli M F, Asgarzadie F, Schelbert F, et al. Quantitaive relation between myocardial viability and improvement in heart failure symptoms after revascularization in patients with ischemic cardiomyopathy[J]. Circulation, 1995, 92:3436~3444.
[10] Paglry PR, Beller GA, Watson DD, et al. Improved outcome after coronary bypass sugery in patients with ischemic cardiomyopathy and residual myocardial viability[J]. Circulation, 1997, 96:793~800.

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备注/Memo

备注/Memo:
收稿日期:1999-08-17。
作者简介:田月琴(1961-),女,河北石家庄人,中国医学科学院协和医科大学心血管病研究所阜外心血管病医院核医学科副主任医师,博士,主要从事核心脏病学研究。
更新日期/Last Update: 1900-01-01