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CK技术检测存活心肌的实验研究 总被引:4,自引:0,他引:4
本文利用彩色室壁运动分析技术(ColorKinesis,简体CK)与小剂量多巴酚丁胺超声心动图负荷试验(2DE-DE)相结合(CK-DE),对6条开胸犬心肌顿抑模型进行研究,结果与2DE-DE、核素心肌灌注显像和病理检查比较,发现23个经病理证实的存活心肌节段中CK-DE能检出22个,2DE-DE能检出21个,核素心肌灌注显像以存活分数≥0.1为标准能检出17个;以存活分数≥0.2为标准能检出11个。表明CK-DE检出存活心肌较核素心肌灌注显像敏感。 相似文献
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为了评价多平面经食管体元模型动态三维超声显像对先天性主动脉瓣畸形的诊断价值,我们对本院经食管超声检查的8例先天性主动脉瓣畸形患者进行研究。均为男性,平均年龄44.6岁(36~52岁)。其中二叶式主动脉瓣畸形7例,四叶式主动脉瓣畸形合并主动脉窦瘤破入右房、赘生物形成1例。图像采集用美国HPSONOS2500多功能超声诊断仪和5MHz多平面经食管探头。三维重建采用德国Tomtec公司生产的计算机工作站。结果8例患者均获得了成功的三维重建。可模拟手术途径清晰显示畸形主动脉瓣叶和主动脉窦的立体形态、瓣叶个数、瓣际交界、合并赘生物的大小和形态和主动脉瓣的返流情况。特别是对主动脉瓣穿孔的显示比二维显像更客观。 相似文献
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目的:本文采用超声心动图彩色多普勒组织成像(DTI)新技术对6条开胸犬正常心脏运动进行研究。方法:通过用速度、加速度显示方式分析心脏各标准切面的室壁运动。结果:发现,DTI能对心脏各室壁节段的运动作出正确的彩色编码,心脏各节段及心肌各层运动速度并非一致,左室后壁的运动速度高于前壁及前间隔的运动速度,室间隔左室面高于右室面,以左室后壁心内膜面运动速度最高,反映了心肌各节段的收缩能力的不一致性,这种不一致性也可能与心肌纤维特殊的排列方式有关。结论:因此在分析室壁运动时,尤其是定量分析时,应考虑到室壁运动的这种差异。从加速度显示方式分析,能够直视心肌传导上的差异,再现心肌激动的顺序,与心肌传导的电生理研究结果基本相符,为今后评价心脏传导系统的疾病提供客观的依据。 相似文献
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冠脉慢性闭塞病变再通对心脏功能的影响 总被引:2,自引:0,他引:2
目的:评价冠脉慢性闭塞病变再通对患者心功能的影响。方法:对冠脉造影证实的冠脉≥1支慢性闭塞的35例患者,采用冠脉介入治疗(PCI:PTCA加支架植入术)或冠脉旁路移植术(CABG),使再血管化,比较治疗前和治疗后3~6个月患者的临床心功能状态和左室射血分数(LVEF)的改变。结果:22例患者行PCI治疗,13例患者行CABG。平均随访4.2个月。治疗后临床心功能状态改善2级以上者27例(77.1%),改善1级者6例(17.1%),无改善者2例(5.8%),总有效率94.2%。LVEF较术前显著改善(术前51.6%±5.8%,术后62.2%±11.3%,P<0.01)。结论:PCI和CABG开通慢性闭塞冠脉能够改善患者的心功能和LVEF。 相似文献
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Objective The relationships between different anticoagulation methods during radiofre-quency catheter ablation(RFCA) of persistent/permanent atrial fibrillation (AF)and thromboembolic events in our center were evaluated. Methods From July 2004 to October 2007, RFCA was consecutively performed in 145 persistent/permanent AF patients. Anticoagulation with warfarin was administrated in all patients before op-eration for at least 1 month, with the international normalized ratio(INR) maintained between 2.0 and 3.0. Be-fore procedure,warfarin was discontinued and replaced by low molecular weight heparin(LMWH). After atrial septum puncture,a total of 5000 U tmfractioned heparin(UFH) were given to patients of group Ⅰ who under-went the ablation from July 2004 to January 2006,while patients of group Ⅱ who underwent the ablation from February 2006 to October 2007 were heparinized(100 U/Kg) according to their weights. During operation, 1000 U UFH was appended per hour. After procedure, LMWH was used for 3 days while warfarin was initiated at the same time and continued for at least 3 months. Results Four patients in group Ⅰ (64 patients ,51 men)experi-enced thrombosis or embolism during or after ablation. One female persistent AF patient in the group Ⅱ (81 pa-tients,67 men)who didn' t fulfill the anticoagulatian therapy experienced TIA after ablation. No thrombeembolic event was identified in other patients of group Ⅱ who fulfilled the anticoagulation therapy. The incidence of thromboembolic event of persistent/permanent AF patients who fulfilled the anticoagulation therapy in the group Ⅱwas lower than that of group Ⅰ (4/64 vs. 0/80, P = 0.037). Conclusions Strengthen the anticoagulation therapy according to patients' weights during radiofrequency ablation could significantly decrease the incidence of thromboembolic event in patients with persistent/permanent AF. 相似文献
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慢性心力衰竭 (chronicheartfailure ,CHF)是严重影响人类健康的疾病 ,是多种重要心血管疾病发展的最终结果。在我国 ,CHF的发病率和患病率随着动脉粥样硬化、高血压病、冠心病发病率的增高和人口老龄化而逐年上升。近年来 ,随着对CHF病理生理机制认识的不断深入 ,CHF的治疗取得了巨大的发展。特别是血管转化酶抑制剂 (ACEI)、β 受体阻滞剂以及醛固酮拮抗剂的应用 ,显著降低了CHF的病死率和病残率。尽管如此 ,CHF的预后仍然很差 ,其 5年生存率仍然令人失望。近年研究发现 ,CHF和睡眠呼吸功能障碍有着密切的关系。对这些患者的睡… 相似文献
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芪苈强心胶囊属于通过中医理论研制而成的中成药,用于慢性充血性心力衰竭,增加心肌收缩力、心输出量和肾血流量,具有一定的临床疗效。但其治疗心力衰竭、抑制心脏重构的具体机制并不是十分清楚。本研究结合近年来国内外相关文献,就中药复方芪苈强心胶囊治疗心力衰竭的相关机制作一简单综述。 相似文献