冠状动脉微循环功能的检测与评估

Detection and Assessment of Coronary Microcirculation Function

冠状动脉微循环功能障碍在心血管疾病中十分常见,且与不良预后相关。在临床实践中,根据患者的情况和不同检测手段的优缺点,合理选择评估方式非常重要。现概述目前临床上的诊断技术,包括非侵入性评估方法(经胸多普勒超声心动图、心肌声学造影、正电子发射断层显像、心脏大血管磁共振成像和心脏计算机断层扫描)和侵入性评估方法(冠状动脉造影、冠状动脉流速储备和微血管阻力系数)。

Coronary microcirculation dysfunction is very common in cardiovascular diseases and indicates poor outcomes.In clinical practice,it is very important to select the evaluation methods reasonably based on the patients'situation and the advantages and disadvantages of different methods.This article outlines the current clinical diagnostic techniques,including non-invasive assessment methods(transthoracic Doppler echocardiography,myocardial contrast echocardiography,positron emission tomography,cardiovascular magnetic resonance imaging and computed tomography)and invasive assessment methods(coronary angiography,coronary flow velocity reserve and index of microcirculatory resistance).