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急性心肌梗死心肌血流再灌注评价技术 被引量：6

Techniques for assessing myocardial reperfusion after acute myocardial infarction
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摘要 TIMIFlow作为评价再灌注的方法自20世纪80年代起就一直应用于临床。TIMIFrameCount是较TIMI血流分级更为客观、更具可重复性的联系性变量指标。TMBG和TMP从心肌微血管水平对再灌注进行评价。冠脉内多普勒血流频谱变化常作为造影过程中的附加检查指标评价血管再通及心肌再灌注。同时心肌声学造影、连续心电图ST段监测、核素心肌灌注显像和心肌增强磁共振成像作为无创性的评价方法也显示出其应用价值。 TIMI Flow as a method to assess myocardial reperfusion has been employed clinically ever since 1980＇s. TIMI Frame Count grading is a more objective, repeatable and correlative in variablity than those of TIMI Flow. TMBG and TMP provide the reperfusion evaluation on myocardial microvascular level.Doppler contrast echocardiography could be used as an additional index to assess vessel recanalization and myocardial reperfusion. Moreover, MCE, continuous ECG monitoring of ST-segment, isotope imaging of myocardial reperfusion and myocardial-enhanced MRI can all be used as non-invasive evaluating approaches with great clinical value.
作者 丁嵩 何奔
机构地区 上海交通大学医学院附属仁济医院心脏科
出处 《介入放射学杂志》 CSCD 2006年第4期250-253,共4页 Journal of Interventional Radiology
关键词 血流再灌注 梗死心肌 评价技术 核素心肌灌注显像 心肌声学造影 多普勒血流频谱 增强磁共振成像 急性 TIMI Count Acute myocardial infarction Myocardial reperfusion Evaluation
分类号 R542.22 [医药卫生—心血管疾病]
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参考文献20

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同被引文献41

  • 1于丽天,朱俊,Rebecca Mister,章晏,李建冬,王多劳,刘力生,Marcus Flather.我国部分医院ST段抬高急性冠状动脉综合征再灌注治疗登记研究[J].中华心血管病杂志,2006,34(7):593-597. 被引量：30
  • 2Salido L, Mestre JL, Pey J, et al. Analysis of mortality in myocardial infarction patients treated with primary angioplasty[J]. Med Clin (Barc),2008;131(13):481-486.
  • 3De Luca G, van' t Hof AWJ, Ottervanger JP, et al. Ageing, impaired myocardial perfusion, and mortality in patients with ST-segment elevation myocardial infarction treated by primary angioplasty [J]. Eur Heart J, 2005;26:662-666.
  • 4Streb W, Duszanska A, Stabry a-Deska J, et al. The comparison of contrast echocardiography and tissue Doppler imaging for evaluation of reperfused myocardium in patients with acute anterior myocardial infarction[J]. Cardiol J, 2008;15(6):548-554.
  • 5Yoon MH, Tahk SJ, Yang HM,et al. Comparison of accuracy in the prediction of left ventricular wall motion changes between invasively assessed microvascular integrity indexes and fluorine-18 fluorodeoxyglucose positron emission tomography in patients with ST-elevation myocardial infarction[J].Am J Cardiol, 2008;102(2):129-134.
  • 6Kim JS, Ko YG, Yoon SJ, et al. Correlation of serial cardiac magnetic resonance imaging parameters with early resolution of ST-segment elevation after primary percutaneous coronary intervention[J].Circ J, 2008; 72(10):1621-1626.
  • 7Jorapur V, Steigen TK, Buller CE, et al. Distribution and determinants of myocardial perfusion grade following late mechanical recanalization of occluded infarctrelated arteries postmyocardial infarction:a report from the occluded artery trial[J].Catheter Cardiovasc Interv, 2008,72(6):7-3-789.
  • 8Marchetti G, Ruiz AJS, Arellano J, et al. Impact of intracoronary sodium nitroprusside on epicardial timi flow, myocardial blush and timi frame count after primary angioplasty in acute myocardial infarction[J].J Am Coll Cardiol, 2005 ;45 (Suppl A).
  • 9Pels K, SchrSder J, Witzenbichler B, et al. Prehospital versus periprocedural abciximab in ST-elevation myocardial infarction treated by percutaneous coronary intervention[J]. Eur J Emerg Med, 2008;15(6):324-329.
  • 10Burzotta F, Trani C, Romagnoli E, et al. Manual thrombusaspiration improves myocardial reperfusion. The Randomized Evaluation of the Effect of Mechanical Reduction of Distal Embolization by Thrombus-Aspiration in Primary and Rescue Angioplasty (REMEDIA) trial[J].J Am Coll Cardiol, 2005:46:371-376.

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介入放射学杂志
2006年 第4期

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