冠状静脉窦充盈时间评估冠状动脉微循环障碍的临床价值  

Value of coronary sinus filing time in assessing dysfunction of coronary microcirculation

作　　者：巢胜吾[1] 樊济海[1] 王丽娜[1] 王玲[1] 潘瑞麟[1] 李博[1] 陈涛涛[1] 

机构地区：[1]解放军第四五五医院心内科,上海200052

出　　处：《中国介入心脏病学杂志》2015年第6期338-340,共3页Chinese Journal of Interventional Cardiology

摘　　要：目的探讨冠状静脉窦充盈时间(CSFT)评估冠状动脉微循环功能的临床价值。方法选择临床符合心脏X综合征诊断标准的患者32例为研究组,无胸痛的冠状动脉造影正常心脏瓣膜病患者22例为对照组,观察两组患者之间临床基线资料、CSFT、TIMI帧计数、TIMI心肌灌注分级(TMP)等指标。结果研究组患者高血压病(56.3%比18.2%,P=0.01)、血脂异常(43.8%比9.1%,P=0.025)、平均CSFT[(4.4±0.6)s比(3.3±0.9)s,P<0.01]显著高于对照组,差异有统计学意义;而TIMI帧计数[(31.5±8.3)帧比(28.3±5.6)帧,P=0.10]、TMP分级[2.90(2.5,3.0)级比2.94(2.8,3.0)级,P=0.50]比较,差异均无统计学意义。结论 CSFT评估冠状动脉微循环障碍有一定的预测价值。Objective To evaluate the value of coronary sinus filing time （CSFT） to assess dysfunction of coronary microcirculation. Methods Thirty-two patients diagnosed with cardiac syndrome X （study group） and twenty-two valvular heart disease patients undergoing coronary angiogram （control group） were selected. CSFF, TIMI frame count, TIMI Myocardial perfusion grade （TMP） and basic clinical data were studied. Results Mean CS1;T in the study group was significantly higher than in the control group [ （4. 35 ±0. 56） s vs. （3.28 ±0. 87） s, P 〈0. 01 ] . No significant differences were found between the groups with respect to TIMI frame count and TMP. Patients in the study group had higher co-morbidity rates of hypertension （56. 3% vs. 18.2%, P =0. 01 ） and dyslipidemia （43.8% vs. 9. 1%, P =0. 025） than the control group. Conclusions CSFT may be valuable in the evaluation of impaired coronary mierocirculation.

关 键 词：冠状静脉窦充盈时间 冠状动脉微循环 

分 类 号：R543.3[医药卫生—心血管疾病]