[1]刘影,裴著果.负荷心肌灌注显像与超声心动图对CAD患者的诊断和风险分级[J].国际放射医学核医学杂志,2001,25(5):198-203.
 LIU Ying,PEI Zhu-guo.Stress myocardial perfusion imaging versus echocardiography for the diagnosis and risk stratification of patients with CAD[J].International Journal of Radiation Medicine and Nuclear Medicine,2001,25(5):198-203.
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
25
期数:
2001年第5期
页码:
198-203
栏目:
综述
出版日期:
1900-01-01

文章信息/Info

Title:
Stress myocardial perfusion imaging versus echocardiography for the diagnosis and risk stratification of patients with CAD
作者:
刘影 裴著果
110001 辽宁 沈阳, 中国医科大学附属第二临床学院核医学科
Author(s):
LIU Ying PEI Zhu-guo
Department of Nuclear Medicine, No. 2 Affiliated Hospital, China Medical University, Liaoning Shenyang 110001, China
关键词:
冠状动脉疾病负荷心肌灌注显像负荷超声心动图风险分级对比研究
Keywords:
coronary artery diseasestress myocardial perfusion imagingstress echocardiographyrisk stratificationcontrast study
分类号:
R817.4;R540.4+5
摘要:
负荷心肌灌注显像和负荷超声心动图是两种非侵入性诊断技术,对冠心病的诊断和风险分级具有重要价值,但两种技术均存在优势与不足。对冠心病的诊断,负荷心肌灌注显像比负荷超声心动图敏感性更高,但后者的特异性略高。在冠心病患者的风险分级方面,负荷心肌灌注显像比负荷超声心动图更有价值,如果负荷心肌灌注显像结果为阴性,即使冠脉造影证实为冠心病的患者,也提示为一个风险非常低的冠心病患者。
Abstract:
Stress myocardial perfusion imaging and stress echocardiography are both noninvasive diagnostic techniques. Both techniques are very valuable for assessment of diagnosis and risk stratification of patients with coronary artery disease, while both have their advantages and disadvantages. The overall sensitivity for diagnosis of coronary artery disease is higher by stress myocardial perfusion imaging than by stress echocardiography, whereas the specificity is slightly higher by the later.With regard to risk stratification of patients with coronary artery disease, stress myocardial perfusion imaging is more valuable than stress echocardiography. A normal stress myocardial perfusion imaging result indicates an exceedingly low risk even in patients with angiographic coronary artery disease.

参考文献/References:

[1] Geleijnse ML, Elhendy A, Fioretti PM, et al. Dobutamine stress myocardial perfusion imaging[J].Am Coll Cardiol, 2000, 36(7):2017-2027.
[2] Usher BW Jr, O’Brien TX. Recent advances in dobutamine stress echocardiography[J]. Clin Cardiol, 2000, 23(8):560-570.
[3] Geleijnse ML, Salustri A, Marwick TH, et al. Should the diagnosis of coronary artery disease be based on the evaluation of myocardial function or perfusion?[J]. Eur Heart J, 1997, 18(Supple D):D67-D77.
[4] Marwick TH. Cardiac stress testing and imaging-A clinician’s guide[M]. New York:Churchill Livingstone, 1996.
[5] Patsilinakos SP, Kranidis AI, Antonelis IP, et al. Detection of coronary artery disease in patients with severe aortic stenosis with noninvasive methods[J].Angiology, 1999, 50(4):309-317.
[6] Astarita C, Palinkas A, Nicoiai E, et al. Dipyridamole-atropine stress echocardiography versus exercise SPECT scintigraphy for detection of coronary atery disease in hypertensives with positive exercise test[J]. J Hypert, 2001, 19(3):495-502.
[7] Geleijnse ML, Marwicl TH, Boersma E, et al. Optimal pharmacological stress testing for the diagnosis of coronary artery disease:a probabilistic approach[J].Eur Heart J, 1995, 16(Suppl M):3-10.
[8] Barletta G, Gallini C, Del Bene R, et al. Simultaneous dobutamine stress echocardiography and 99Tcm-tetrofosmin three-head single-photon emission computed tomography in patients with suspected coronary artery disease[J]. Coron Artery Dis, 1999, 10(7):479-487.
[9] Elhendy A, van Domburg RT, Bax JJ, et al. Accuracy of dobutamine technetium 99m sestamibi SPECT imaging for the diagnosis of singie-vessel coronary artery disease:comparison with echocardiography[J]. Am Heart J, 2000, 139(2 Pt 1):224-230.
[10] Brown KA, Rosman DR, Dave RM. Stress nuclear myocardial perfusion imaging versus stress echocardiography:prognostic comparisons[J]. Prog Cardiovasc Dis, 2000, 43(3):231-244.
[11] Bypass Angioplasty Revascularization investigation (BARI) Investigatora:Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease.[see comments] [J]. N Engl J Med, 1996, 335:217-225.(Published erratum appears in N Engl J Med, 1997, 336:147)
[12] Shaw LJ, Hachamovitch R, Redberg RF.Current evidence on diagnostic testing in women with suspected coronary artery disease:choosing the appropriate test[J].Cardiol Rev, 2000, 8(1):65-74.
[13] Hachamovitch R, Berman DS, Kiat H, et al.Exercise myocardial perfusion SPECT in patients with known coronary artery disease:Incremental prognostic value and use in risk stratification[J].Circulation, 1996, 93:905-914.
[14] Shaw LJ, Hachamovitch R, Berman DS, et al.The economic consequences of available diagnostic and prognostic strategies for the evaluation of stable angian patients:An observational assessment of the value of precatheterization ischemia[J].J Am Coll Cardiol, 1999, 33:661-669.
[15] Krivokapich J.Implications of stress-induced LV dys-fuction on risk stratification[A].Marvick TH(ed) Cardiac Stress Testing and Imaging[C].New York Churchill Livingstone, 1996, 509-523.
[16] Marcovitz PA, Shayna V, Horn RA, et al.Value of dobutamine stress echocardiography in determining the prognosis of patients with known or suspected coronary artery disease[J].Am J Cardiol, 1996, 78:404-408.
[17] Elhendy A, van Dombung RT, Bax JJ, et al.Significance of resting wall motion abnormalities in 2-dimensional echocardiography in patients without previous myocardial infarction referred for pharmacologic stress testing[J].J Am Soc Echocardiogr, 2000, 13(1):1-8.
[18] Krivokapich J, Child JS, Walter DO, et al.Prognostic value of dobutamine stress echocardiography in predicting cardiac events in patients with know or suspected coronary artery disease[J].J Am Coll Cardiol, 1999, 33:708-716.
[19] McCully RB, Roger VL, Mahonery DW, et al.Outcome after normal exercise echocardiography and predictors of subsequent cardiac events:Follow-up of 1325 patients[J].J Am Coll Cardiol, 1998, 31:144-149.
[20] Poldermans D, Amese M, Fioretti PM, et al.Improved cardiac risk stratification in major vascular surgery with dobutamine-atropine stress echocardiography[J].J Am Coll Cardiol, 1997, 26:648-653.
[21] Geleijnse ML, Elhendy A, Van Domburg RT, et al.Cardiac imaging for risk stratification with dobu-tamine-atropine stress testing in patients with chest pain.Echocardiography, perfusion scintigraphy, or both?[J].Circulation, 1997, 96:137-147.
[22] Olmos LI, Dakik H, Gordon R, et al.Long-term prognostic value of exercise echocardiography compared with exercise 201 Tl, ECG, and clinical variables in patients evaluated for coronary artery disease[J].Circulation, 1998, 98:2679-2686.

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备注/Memo

备注/Memo:
收稿日期:2000/5/23。
作者简介:刘影(1974-),女,辽宁兴城人,中国医科大学第二临床学院核医学科硕士研究生,主要从事核医学ECT显像技术研究;裴著果(1935-),男,辽宁黑山人,中国医科大学第二临床学院核医学科教授,博士生导师,主要从事心脑缺血性疾病核医学诊断技术研究。
更新日期/Last Update: 1900-01-01