左室局部收缩功能在冠心病诊断中的应用价值

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冠脉造影24h内记录50例疑冠心病患者和15例对照者的二维超声心动图,借助超声心动图图像分析系统计算室节段面积变化率(△A%)。结果表明:①△A%定性、定位、定支诊断冠心病的敏感性分别为100%、84.85%及87.88%,特异性均为80.77%。②与左室射血分数和左室整体舒张功能比较,发现冠心病患者△A%改变最敏感(100%),左室整体舒张功能次之(65.62%),左室射血分数最差(43.21%).③侧支循环的存在、冠脉左旋支和右冠脉供血的重叠及冠脉狭窄程度较轻是△A%定位和定支诊断失误的主要原因。对各部位△A%存在差别的可能原因,进行了分析。 Two-dimensional echocardiography was recorded in 50 patients with suspected coronary artery disease and 15 controls within 24 hours of coronary angiography, and the rate of change in the area of ​​the segmental segments (ΔA%) was calculated by echocardiography analysis system. The results showed that: ① The sensitivity, specificity and accuracy of △ A% were 100%, 84.85% and 87.88%, respectively, and the specificity was 80.77%. ② Compared with left ventricular ejection fraction and left ventricular diastolic function, it was found that △ A% was the most sensitive (100%) in coronary heart disease, followed by left ventricular diastolic function (65.62%), left ventricular ejection fraction Poor (43.21%). ③ The existence of collateral circulation, coronary artery left coronary artery and right coronary artery blood supply overlap and coronary artery stenosis is light △ A% positioning and fixed diagnosis of the main reason for the error. The possible reasons for the difference in △ A% of each site were analyzed.
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