室壁运动异常与冠状动脉病变的对比分析  

A comparative analysis of the ventricular wall motion asynergy and obstructive coronary arteries

作　　者：贾满盈[1] 刘伊丽[1] 许坤范 翁昌鸿[1] 洪甫丰 谢志斌[1] 张荣华[1] 陆振刚[1] 

机构地区：[1]南方医院心血管内科

出　　处：《第一军医大学学报》1991年第1期10-13,共4页Journal of First Military Medical University

摘　　要：本文利用轴线法(％△a)分析了心室壁运动,并与60例冠心病人的左室电影造影、冠状动脉造影进行对比研究,以判断室壁运动障碍部位和冠脉病变之间的关系。结果表明室壁运动异常部位与冠脉病变部位一致,本法的敏感性及特异性均较高。Coronary artery stenosis or occlusion is the main cause of left ventricular wall motion asynergy ( VWMA ) .We studied the relationship between the obstructive coronary arteries and VWMA by selective coronary angiography and cineventricu-lography in 60 patients with coronary heart disease. The ventricular wall motion was assessed by axis line method ( %△a ) .The severity of the contractive abnormality of each segment was defined as hypokinesis ( HK ) , akinesis ( AK ) and dyskinesis ( DK ) .The location of asynergy was determined according to the anatomic areas of the left ventricle perfused by each of the three major coronary arteries. Our results show that the VWMA assessed by %△a correlates closely with regional myocardial perfusion.

关 键 词：冠心病 心室造影 室壁运动 

分 类 号：R541.404[医药卫生—心血管疾病]