心肺运动试验在介入心脏病学中的应用王宁夫PPT.ppt

心肺运动试验在介入心脏病学中的应用;介入心脏病学;;炎症 - 巨噬细胞,T细胞;Libby. Circulation 1995;91:2844–2850.;Invasive vs. Conservative Strategy for ACS;Stents or Bypass insertion; 90% of “Normal” Arteries Have Significant Plaque Burden by IVUS ;冠状动脉支架植入;介入心脏病学;二尖瓣狭窄的介入治疗;二尖瓣返流经皮介入治疗进展缘-缘修复 - “蝶形结” 修复;二尖瓣返流的经皮介入治疗;主动脉瓣狭窄;经皮主动脉瓣植入术后1年时的随访;介入心脏病学;先天性房间隔缺损;先天性房间隔缺损封堵术;动脉导管未闭封堵术;先天性室间隔缺损;先天性室间隔缺损封堵术;先天性室间隔缺损封堵术后心超; 介入心脏病学疗效的评价方法;静态心肺功能评价不能真正反映机体的状况;静态心肺功能评价不能真正反映机体的状况;静态心肺功能评价不能真正反映机体的状况;心肺运动试验;;能量的产生;能量的运输;无氧阈的测定——V-slope法;Derangements of gas exchange in disease;Metabolic endpoint to evaluate results of therapeutic interventions;The differential diagnosis of exertional dyspnea and fatigue;Functional Impairment During Incremental Treadmill Testing in Heart Failure: Weber-Janicki Classification;介入心脏病学; CPET评价冠状动脉介入治疗的效果;评价冠心病介入治疗的效果—Adachi等的研究;The effects of PTCA on the Vo2 response during 6min of 50-W constant-work-rate exercise;The effects of PTCA on the time constant of Vo2, the gas-exchange threshold (GET);The effects of PTCA on the peakVo2, and the maximal work rate;Heart Rate,BP,and Vo2 Before and After PTCA;Adachi等研究的结论：; 评价冠心病介入治疗的效果;评价冠心病介入治疗的效果;介入心脏病学; 在风湿性心瓣膜病中的应用;在风湿性心瓣膜病中的应用——Kolling 等的研究;二尖瓣球囊成形术前及术后比较;PTVP术前、术后的平板运动时间;PTVP术前、术后的maxVO2;PTVP术前、术后的maxVO2/kg/min;PTVP术前、术后的maxVO2/predVO2max;PTVP术前、术后在无氧阈下maxVO2/predVO2max;Kolling 等的研究结论： ;CPET在风湿性心瓣膜病中的应用;CPET在风湿性心瓣膜病中的应用;介入心脏病学;在先天性心脏病中的应用——Glaser等的研究;心肺运动试验的结果;Mean Pao2 at rest and under maximal exercise for groups in different NYHA and ability classes;Mean CPX results for groups in different NYHA and ability classes compared to control subjects;Results of Blood Gas Analyses at Rest and Under Maximal Exercise;VE at rest correlated to PaO2 at rest in cyanotic patients;Correlation of exercise PETO2 and exercise PETO2 to VE vs VCO2 slope ;Glaser等的研究结论;在先天性心脏病中的应用;在先天性心脏病中的应用;小结：;谢谢！