席伟春,黄榕翀,石洪成,邹云增,葛均波

• 1: 复旦大学附属中山医院心内科
• 2:复旦大学附属中山医院心内科
• 3:复旦大学附属中山医院核医学室
• 4:复旦大学附属中山医院心内科

摘要(Abstract)：

目的探讨心肌潘生丁负荷/再分布铊(Tl)201单光子发射计算机断层显像(single pho-ton emission computed tomography,SPECT)法评价隐匿性冠心病预后的可行性。方法入选1998至2005年期间94例无任何症状但运动平板试验反复阳性的飞行人员,根据SPECT心肌显像结果分为检查结果阳性组及阴性组,阳性组中根据心肌缺血累及范围又分为单个节段受累亚组、2个节段受累亚组和2个以上节段受累亚组,平均随访4.5年,比较组间的主要心血管事件(major adverse cardio-vascular events,MACE)发生率。结果随访过程中,阳性组与阴性组的MACE分别为30%与7%,差异具有统计学意义(P<0.01)。2个以上节段受累亚组组MACE发生率(100%)明显高于单个节段受累亚组(24%)、2个节段受累亚组(22%)及阴性组(7%),P均<0.05。结论潘生丁负荷心肌Tl201-SPECT显像有助于隐匿性冠心病预后判断,从而指导临床早期干预治疗。

关键词(KeyWords)： 放射性核素显像;冠状动脉疾病;运动试验;预后

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 席伟春,黄榕翀,石洪成,邹云增,葛均波

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