- 1、本文档共93页,可阅读全部内容。
- 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
* * 66岁男性病人,偶发的心绞痛,2月前发展为诱发性的心绞痛。近来上下楼梯诱发心绞痛的发作。静息状态下ECG阴性。运动心电图发现ST段降低1毫米,但无胸痛的发作。 * 放支架和球囊扩张治疗。 Cardiac dea th or MI rate in pati ents with normal versus increased lung uptak e on exer cise TI-20 1 imaging stu dies. (Ada pted from [43].) Gill jB, * In patients with 2 mm furth er ST depression with exercise but sma ll or no perfusion defect s, the annualized ca rdiac death or MI rate was 1.4% per year compare d to 4.1% per yea r among patients with moderate to severely abnormal MPI (p 0.03). In high clinical risk subgroups, it may be beneficial to repeat risk stratification after 3 to 4 years, possibly sooner if they did not reach an ad equate heart rate on exercise testing. * Incremental prognostic value during diagnostic work-up. Information provided by stress/rest gated SPECT is available after clinical examination, laboratory tests, and ECG and echocardiography but before coronary arteriography. * Prognostic value during diagnostic work-up when information provided by gated SPECT is available after coronary arteriography. * * * Patient with stenoses of the left anterior descending coronary artery (LAD) and the right coronary artery (RCA), both classified as ≥50% on MDCT angiography. While RCA stenosis was associated with a reversible perfusion defect in the inferior wall, LAD stenosis showed no perfusion defect on gated SPECT. a Curved multiplanar reconstruction MDCT images showing the middle RCA segment with a non-calcified lumen reduction (left image, white arrow) and the middle LAD segment with a mixed plaque leading to “significant” stenosis (right image, yellow arrow). b Three-dimensional volume-rendered MDCT image showing the ascending aorta and the four proximal coronary arteries with significant stenoses in the middle RCA (white arrow) and the middle LAD (yellow arrow). c Axial (upper two rows, apex right) and sagittal SPECT slices at stress and rest (lateral right) showing a reversible perfusion defect in the inferior wall (white arrows) indicati
您可能关注的文档
- 心血管系统解剖学课件13.ppt
- 心脏肿瘤诊疗.pptx
- 心血管系统解剖学课件07.ppt
- 心血管系统解剖学课件11.ppt
- 心血管系统解剖学课件15.ppt
- 新编妇产科诊疗学.pdf
- 新生儿出院家庭护理要点.doc
- 新进护理人员考核试题及答案.doc
- 新生儿咽下综合症的护理.ppt
- 性病临床诊疗指南.pdf
- 江苏省灌云高级中学2023-2024学年高三上学期第一次月考地理试题含答案.docx
- 备战2024年高考物理一轮重难点复习 第十三章 近代物理.docx
- 江苏省高邮市一中2021-2022学年高三上学期第一次月考语文试题(原卷版).docx
- 江苏省华罗庚中学2023-2024学年高三上学期12月阶段检测数学试卷含答案.docx
- 江苏省海门中学2023-2024学年高三上学期第一次调研考试地理试题及答案.docx
- 备战2024年高考物理一轮重难点复习 第九章 恒定电流.docx
- 江苏省高邮市2023-2024学年高三下学期3月学情调研数学试题含答案.docx
- 备战2024年高考物理一轮重难点复习 实验十一:探究影响感应电流方向的因素.docx
- 备战2024年高考物理一轮重难点复习 实验三:验证平行四边形定则.docx
- 备战2024年高考物理一轮重难点复习 第十四章 光.docx
文档评论(0)