JACC:心脏磁共振在非梗阻性冠心病心绞痛患者中的诊断价值

2018-02-27 MedSci MedSci原创

在非梗阻性冠心病(NOCAD)心绞痛患者中,确定冠脉微血管功能不良(CMD)至关重要,且难度较高。心脏磁共振(CMR)可以较准确地评估心肌的灌注状态,并被广泛应用于诊断梗阻性冠心病。本研究的目的旨在评估CMR在NOCAD心绞痛患者中的诊断价值。本研究纳入了50名心绞痛患者(65 ± 9岁)和20名年龄匹配的正常对照,对其进行腺苷负荷心脏磁共振检查,以评估左室功能、诱导性心肌缺血和梗塞情况。在接下来

在非梗阻性冠心病(NOCAD)心绞痛患者中,确定冠脉微血管功能不良(CMD)至关重要,且难度较高。心脏磁共振(CMR)可以较准确地评估心肌的灌注状态,并被广泛应用于诊断梗阻性冠心病。本研究的目的旨在评估CMR在NOCAD心绞痛患者中的诊断价值。

本研究纳入了50名心绞痛患者(65 ± 9岁)和20名年龄匹配的正常对照,对其进行腺苷负荷心脏磁共振检查,以评估左室功能、诱导性心肌缺血和梗塞情况。在接下来的7天时间内进行血管造影术,发现有28名患者出现梗阻性冠心病,22名患者出现NOCAD。在NOCAD患者中,微循环阻力(IMR)<25U患者的心肌灌注储备指数(MPRI)正常,而IMR≥25U患者的MPRI明显受损,与梗阻性冠心病患者缺血的心肌类似。在MPRI受损的NOCAD患者中,心肌血流在应激状态下的扩增也明显受损,静息状态下不变。

研究结果显示,在非梗阻性冠心病伴心绞痛患者中,心脏磁共振能客观且非侵入性地评估微血管功能情况。

原始出处:

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    2018-09-18 hbwxf
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likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/TDiaAWyicHgedzX3wKo3qcxudVJib7AfibfvNeufHRF2jG3Bw8MmZyWjIhtBV1mpJI7Sy9n7RcBKK5t3CuOKuOFxkg/0, createdBy=dd702206933, createdName=wzb521zf, createdTime=Wed Feb 28 06:58:34 CST 2018, time=2018-02-28, status=1, ipAttribution=)]
    2018-03-03 海之蓝

    学习

    0

  5. 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  8. 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likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/TDiaAWyicHgedzX3wKo3qcxudVJib7AfibfvNeufHRF2jG3Bw8MmZyWjIhtBV1mpJI7Sy9n7RcBKK5t3CuOKuOFxkg/0, createdBy=dd702206933, createdName=wzb521zf, createdTime=Wed Feb 28 06:58:34 CST 2018, time=2018-02-28, status=1, ipAttribution=)]
    2018-02-28 121bc07am25暂无昵称

    学习了.受益良多.

    0

  9. 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    2018-02-28 121bc07am25暂无昵称

    学习了.

    0

  10. 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    2018-02-28 wzb521zf

    一起学习学习

    0

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