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多巴酚丁胺心电图与^(99m)Tc-MIBI心肌显像对冠心病诊断价值比较 被引量:3
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作者 陈步星 徐成斌 +3 位作者 王伟民 田雅文 高伯山 齐桂英 《北京医科大学学报》 CSCD 1996年第5期355-357,共3页
目的:比较多巴酚丁胺心电图(Dobu-ECG)与 ̄(99m)Tc-MIBI心肌显像(Dobu-ECT)诊断冠心病的价值。方法:对69例拟诊冠心病而无心肌梗塞患者在行冠状动脉造影时进行多巴酚丁胺心肌显像检查。结果:Do... 目的:比较多巴酚丁胺心电图(Dobu-ECG)与 ̄(99m)Tc-MIBI心肌显像(Dobu-ECT)诊断冠心病的价值。方法:对69例拟诊冠心病而无心肌梗塞患者在行冠状动脉造影时进行多巴酚丁胺心肌显像检查。结果:Dobu-ECT诊断冠心病的敏感性和准确度优于Dobu-ECG(91.7%对47.2%,P<0.018,5.5%对66.7%,P<0.05),特异性二者之间无差异。诊断冠状动脉单支、双支、三支病变的敏感性Dobu-ECT优于Dobu-ECG。诊断前降支、右冠状动脉的敏感性,Dobu-ECT高于Dobu-ECG。在研究中无一例出现严重副作用。结论:Dobu-ECT对识别冠心病存在与否及冠心病冠脉病变程度和范围均优于Dobu-ECG。 展开更多
关键词 多巴酚丁胺 诊断 冠心病 锝^99M
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Macruz值和P波宽度及P波终末电势对判别高血压病左室结构和功能改变的作用 被引量:1
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作者 胡晓晟 刘晓健 《浙江大学学报(医学版)》 CAS CSCD 2000年第1期10-13,共4页
目的:比较心电图Macruz值(P/PR段)和P波宽度及P波终末电势(PTFV1)对判断高血压病左室结构和功能改变的作用。方法:测量81例高血压病患者及39例正常人Macruz值、P波宽度、PTFV1、左室重量指数(LVMI)、左室舒张早期充盈速度峰值(E峰)和晚... 目的:比较心电图Macruz值(P/PR段)和P波宽度及P波终末电势(PTFV1)对判断高血压病左室结构和功能改变的作用。方法:测量81例高血压病患者及39例正常人Macruz值、P波宽度、PTFV1、左室重量指数(LVMI)、左室舒张早期充盈速度峰值(E峰)和晚期充盈速度峰值(A峰)及A/E值。结果:随左室肥厚(LVH)的发生,Macruz值和PTFV1及P波宽度明显增大,且前二项指标与LVMI及A/E中、高度相关;LVH组中Macruz值异常率为71.4%,高于PTFV1和P波宽度的异常率。结论:Macruz值和P波宽度及PTFV1三项指标从心电学角度反映了高血压时LVH,其中Macruz值对反映高血压所致的舒张功能异常最为敏感。 展开更多
关键词 P波终末电势 Macruz值 P波宽度 左心室功能 心电图 超声心动图
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Radial Pulse and Electrocardiography Modulation by Mild Thermal Stresses Applied to Feet: An Exploratory Study with Randomized, Crossover Design
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作者 Jang-Han Bae Boncho Ku +5 位作者 Young Ju Jeon Hyunho Kim Jihye Kim Haebeom Lee Jong Yeol Kim Jaeuk U.Kim 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2020年第4期299-306,共8页
Objective:To investigate the changes in radial pulse induced by thermal stresses(TSs).Methods:Sixty subjects were enrolled.Using an open-label,2x2 crossover randomization design,both feet of each subject were immersed... Objective:To investigate the changes in radial pulse induced by thermal stresses(TSs).Methods:Sixty subjects were enrolled.Using an open-label,2x2 crossover randomization design,both feet of each subject were immersed in 15%:water for cold stress(CS)and in 40 X:water for heat stress(HS)for 5 min each.Radial pulse,respiration and electrocardiogram(ECG)signals were recorded before,during and immediately after the TSs.Results:The an alysis of heart rate variability revealed that CS in creased the low-freque ncy(LF)and high-frequency(HF)components(P<0.05)and that HS reduced the LF and HF components(P<0.01).Both TSs reduced the normalized LF,increased the normalized HF,and reduced the LF/HF ratio.The differences in the ECG signals were more dominant during the TS sessions,but those in the radial pulse signals became more domi nant immediately after the TS sessi ons.CS decreased the pulse depth(P<0.01)and in creased the radial augme ntation in dex(P<0.1),and HS in creased the pulse pressure(P<0.1)and sube ndocardial viability ratio(P<0.01).There were no significant differences in pulse rate during the three time sequences of each TS.The respiration rate was increased(P<0.1),and the pulse rate per respiration(P/R ratio)was significantly decreased(P<0.05)with CS.The HF region(10-30 Hz)of the pulse spectral density was suppressed during both TSs.Conclusions:CS induced vasoconstriction and sympathetic reactions,and HS induced vasodilation and parasympathetic reacti ons.Based on defi nitions used in pulse diag no sis,we made the novel discoveries that the pulse became slower(decreased P/R ratio),more floating and tenser under CS and that the HF region of the spectral power decreased significantly under both TSs. 展开更多
关键词 RADIAL PULSE PULSE diag no sis thermal stress electrocardiography heart rate variability
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