运动负荷核素心肌灌注显像对冠心病的诊断价值  

Value of exercise stress radionuclide myocardial imaging in diagnosis of coronary heart disease

作　　者：张杰[1] 杨曙光[1] 苏玉文[1] 张燕 栾兆生[1] 周雯[1] 

机构地区：[1]解放军88医院,山东泰安271000

出　　处：《心脏杂志》2006年第3期332-333,共2页Chinese Heart Journal

摘　　要：目的探讨运动负荷核素心肌灌注显像对冠心病的诊断价值。方法对117例疑有冠心病者,以冠状动脉造影(CAG)结果作为诊断标准,进行心电图平板活动试验和运动负荷核素心肌灌注断层显像两种检查,并将结果行对比分析。结果与CAG结果比较,心电图平板活动试验诊断冠心病的敏感性为60%,特异性为73%;运动负荷核素心肌灌注显像诊断冠心病的敏感性为87%,特异性为69%。结论运动负荷核素心肌灌注显像与心电图平板活动试验比较,敏感性高,特异性相近,对冠心病的无创性诊断具有重要价值。AIM To investigate the value of exercise radionuclide myocardial imaging in the diagnosis of coronary heart disease（CHD）. METHODS One hundred and seventeen CHD suspected patients were diagnosed with coronary angiography and the results of treadmill test and ^99mTc-MIBI stress exercise radionuclide myocardial imaging were compared. RESULTS The sensitivity and specificity of treadmill test were 64% and 75% and those of exercise stress radionuclide myocardial imaging were 89% and 71% respectively. CONCLUSION Compared with treadmill test, exercise stress radionuclide myocardial imaging has higher sensitivity and similar specificity in the diagnosis of CHD.

关 键 词：冠状动脉造影 心电图平板活动试验 运动负荷核素心肌灌注显像 

分 类 号：R541.4[医药卫生—心血管疾病]