Dobutamine stress echocardiography and tissue Doppler imaging in the diagnosis of coronary heart disease in the clinical application of.docVIP

 PAGE \* MERGEFORMAT 2 Dobutamine stress echocardiography and tissue Doppler imaging in the diagnosis of coronary heart disease in the clinical application of Authors: FENG, GE Yu-zhi, Ye storage, Sheng Tai, CAO Ping-liang, Liu Jianping, Liu Dongsheng, Wu Zhiting 【Abstract】 Objective To investigate the dobutamine stress echocardiography (DSE) and tissue Doppler imaging (TDI) in coronary heart disease (CHD) diagnosis in order to find a sensitive, non-invasive CHD diagnosis. Methods chest tightness or chest pain and 40 patients with suspected CHD, the application TDI measurement of resting (Rest) under the anterior wall of the middle peak systolic velocity (Vs), as well as dobutamine peak load conditions (Peak) under the anterior mid-Vs, simultaneous measurement of resting heart rate, heart rate and load; all selected objects are to coronary angiography and, based on whether the extent of the left anterior descending artery stenosis ≥ 50% is divided into left anterior descending artery stenosis (LST group) and the non-left anterior descending artery stenosis (non - LST group); the same time, at least one or more than one major coronary artery stenosis ≥ 50% in patients with CHD as a group, other patients classified as non-CHD group (non-CHD group). To do the following: (1) were compared Rest and Peak anterior middle LST group and non-LST group differences in the average Vs; (2) to compare resting echocardiogram (Echo RS) and the DSE sensitivity of the diagnosis of CHD , specificity and accuracy differences; (3) to compare CHD group and the non-CHD group resting heart rate, load peak rate of increase in heart rate and heart rate differences. Results (1) Rest the anterior wall of the middle LST group and non-LST Group Vs was no significant difference between (7.16 ± 1.73 vs 7.81 ± 1.03cm / s, Pgt; 0.05); but Peak anterior middle LST group and non-LST Group Vs (8.91 ± 1.42 vs 10.67 ± 1.73cm / s, P