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冠状动脉旁路术前存活心肌的评价(附13例报告) 被引量:2
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作者 郭金成 张维君 +3 位作者 胡旭东 王金城 米宏志 顾成雄 《中华心血管病杂志》 CAS CSCD 北大核心 1998年第3期184-186,共3页
目的对13例准备行冠状动脉旁路术(CABG)的冠心病患者术前行硝酸异山梨酯(ISDN)介入201TI心肌断层显像,评价其检测存活心肌及预测心功能恢复的价值。方法CABG术前患者于多巴酚丁胺负荷高峰时注射201TI行... 目的对13例准备行冠状动脉旁路术(CABG)的冠心病患者术前行硝酸异山梨酯(ISDN)介入201TI心肌断层显像,评价其检测存活心肌及预测心功能恢复的价值。方法CABG术前患者于多巴酚丁胺负荷高峰时注射201TI行负荷、3小时再分布心肌显像后,静脉点滴ISDN并再次注射201TI(ISDN/RI)进行心肌显像,CABG术后3个月复查静态心肌显像,并比较术前后左室射血分数。结果13例患者负荷像共有48个节段灌注异常,ISDN/RI显像后有29个节段灌注改善,其中26个节段在术后心肌灌注亦有改善;不可逆灌注或异常加重的19节段中,术后仍有17个节段灌注无改善,ISDN/RI显像检测存活心肌的准确性为89.5%。且左室射血分数的提高与ISDN/RI显像可逆灌注节段数密切相关(r=0.73,P<0.005)。结论ISDN/RI201TI心肌显像在估测存活心肌和预测心功能恢复方面有较高的临床实用价值。 展开更多
关键词 冠心病 冠状动状旁路术 放射性核素显像
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Retrospective analysis of exercise capacity in patients with coronary artery disease after percutaneous coronary intervention or coronary artery bypass graft 被引量:5
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作者 Ying Li Xue Feng +1 位作者 Biyun Chen Huaping Liu 《International Journal of Nursing Sciences》 CSCD 2021年第3期257-263,I0001,共8页
Objectives:To describe the current state of exercise capacity as well as to identify its predictors in patients with coronary artery disease (CAD) following percutaneous coronary intervention (PCI) or coronary artery ... Objectives:To describe the current state of exercise capacity as well as to identify its predictors in patients with coronary artery disease (CAD) following percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) in the mainland of China.Methods:A retrospective study design was employed.We evaluated 230 CAD patients following PCI or CABG in a cardiac rehabilitation center from January 2019 to October 2019.The patients were referred to undergo incremental cardiopulmonary exercise testing with a cycle ergometer.The Zung Self-Rating Anxiety Scale and the Zung Self-Rating Depression Scale were used to evaluate patients' mental health.Statistical analysis was performed using the chi-square test,Fisher's exact test,t-test,Mann-Whitney U test,and binary logistic regression.Results:Among the 230 patients,223 patients demonstrated reduced exercise capacity.Resutlts of the logistic regression analysis showed that anxiety (OR =1.13,95% CI 1.01-1.32,P =0.029) was an independent risk factor for reduced exercise capacity in patients following the PCI or CABG.Conclusions:Exercise capacity of Chinese CAD patients after PCI or CABG was relatively poor.Alleviating symptoms of anxiety and making exercise prescriptions according to the results of the cardiopulmonary exercise test should be considered during the intervention to improve CAD patients' exercise capacity. 展开更多
关键词 ANXIETY Coronary artery bypass Coronary artery disease Cardiac rehabilitation DEPRESSION Exercise test Exercise tolerance Percutaneous coronary intervention
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