潘生丁食管心房调搏超声心动图复合试验在急性心肌梗死早期应用的价值  

Usefulness of stress test of combined dipyridamole and transesophageal atrial stimulation with echocardiography early after acute myocardial infarction

作　　者：王明空[1] 李春生[1] 岳全廷[1] 黄元海[1] 魏平 孙中华 徐红岩[1] 胡淑贞[1] 

机构地区：[1]解放军152医院

出　　处：《心功能杂志》1998年第2期77-79,共3页

摘　　要：以冠状动脉造影结果为标准，对６０例无并发症的急性心肌梗死患者，分别在梗死后的１周与２周，行食管心房调搏超声心动图（ＴＥＥ）与潘生丁超声心动图（ＤＰＥ）及潘生丁食管心房调搏超声心动图（ＤＰ－ＴＥＥ）试验，以评价其检测多支冠脉血管病变的价值。发现ＤＰ－ＴＥＥ的敏感度为７９％、特异度为８７％、准确度为８３％，而ＤＰＥ及ＴＥＥ敏感度为５９％及５２％、特异度为８７％及８７％、准确度为７３％及７０％。试验中未发现严重不良反应。结果显示ＤＰ－ＴＥＥ可安全地用于首次无并发症的心肌梗死患者，预测急性心肌梗死后新的缺血事件的发生，筛选高危病人，以便及早采取有效的预防及治疗措施。In this study the result of coronary artery angiography was as the standard. The stress test of combined dipyridamole and transesophageal atrial stimulation with echocardiography, the stress test of combined dipyridamole with echocardiography(DPE) and the stress test of transesophageal atrial stimulation with echocardiography(TEE) were performed in 60 patients with uncomplicated acute myocardial infarction, on the seventh day and the fourteenth day after infarction. This program was conducted for the purpose of assessing the detecting multivessel coronary disease. It was found that the sensitivity of DP TEE was 79%, the specificity 87% and the accuracy 83%, whereas the sensitivity, specificity and the accuracy of DPE was 59%, 87% and 73%, respectively, and the sensitivity specificity and accuracy of TEE was 52%, 87%, and 70%, respectively. No serious side effect was discovered. The result showed that DP TEE test is safe in the patients with uncomplicated acute myocardial infarction onset for the first time to predict new ischemic events. We can select high risk patients to take the effective measures in treatment and prevention. Prognosis of the patients can be improved.

关 键 词：潘生丁 食管心房调搏法 心肌梗塞 超声心动图 

分 类 号：R542.22[医药卫生—心血管疾病]