应用核素心血池显像探测冠心病患者早期心脏功能失调(附145例报告)  

Detecting early cardiac dysfunction With radionuclide cardiac blood-pool imaging

作　　者：吴可贵[1] 陈达光[1] 林好学[1] 谢志淳[1] 林军[1] 郭榕[1] 缪蔚冰[1] 陈文新[1] 吴立坚[1] 

机构地区：[1]福建医学院附属第一医院,福州350005

出　　处：《核技术》1992年第5期278-281,共4页Nuclear Techniques

摘　　要：应用平衡法核素心血池显像,对145例正常人及心肌梗塞、冠心病、冠心病合并高血压、单纯高血压等患者进行心脏功能测定。结果发现冠心病及冠心病合并高血压病人即使临床上没有心脏功能不全的表现,心功能参数的平均值与正常人比较已有明显的差异。38.3％病人局部射血分数下降和室壁运动减弱:65.7％病人最大充盈率下降,提示患者存在着潜在的心脏功能失调,而最早出现的是舒张功能失调。Cardiac function was measured by radionuclide cardiac blood-pool imaging in 15 normal persons, 19 cases of hypertension, 32 cases of coronary heart disease, 35 cases of coronary heart disease combined with hypertension and 44 cases of myocardial infarction. Significant differences have been found in indices of cardiac function between normal subjects and patients with coronary heart disease and coronary heart disease combined with hypertension, even though the patients were without any clinical sign of cardiac failure. Lowered regional EF and decreased ventricular wall motion were found in 38.8% of patients, while 65.7% of patients revealed marked abnormality in MFR. The results indicate that latent cardiac dysfunction is common in patients with coronary heart disease. The earliest change is diastolic function abnormalities.

关 键 词：核素 冠心病 心脏功能失调 

分 类 号：R541.4[医药卫生—心血管疾病]