2型糖尿病合并急性心肌梗死患者心肌灌注显像及冠脉造影特点分析

2型糖尿病合并急性心肌梗死患者心肌灌注显像及冠脉造影特
点分析
赵佩琴;赵晋华;秦明照;戴浩洁;张润武;肖芬
【期刊名称】《中华核医学与分子影像杂志》
【年(卷),期】2001(021)002
【摘要】目的探讨2型糖尿病(2DM)合并急性心肌梗死患者的心肌灌注断层显像
和冠状动脉病变的特征性改变。

方法 25例2DM合并急性心肌梗死患者，随机选取同期住院的单纯冠心病急性心肌梗死患者10例作为对照。

所有患者均行核素心肌灌注显像(静态和硝酸甘油介入心肌断层显像)及冠状动脉造影。

结果 25例2DM 合并心肌梗死者冠状动脉造影3支病变占60%，明显高于对照组(40%)；心肌灌
注检出的放射性缺损节段数为32.25%(129/400)，而对照组为15.62%(25/160)。

结论2DM合并急性心肌梗死患者呈广泛多节段灌注缺损，冠状动脉多为多支病变、重度狭窄。

%Objective To investigate the characteristic changes of myocardial perfusion imaging and coronary artery angiography in patients of acute myocardial infarction (AMI) with underlined type 2 diabetes mellitus. Methods 25 type 2diabetes mellitus patients were enrolled for having clinical manifestation of AMI.Ten inpatients with AMI of simple coronary heart disease origin were served as controls. All subjects underwent both myocardial perfusion imagings (resting and nitroglycerine invention) and coronary artery angiography. Results Compared to controls (40%), type 2 diabetes mellitus+AMI group had higher rate of multivessel disease (60%). For type 2 diabetes mellitus+AMI patients,
129/400 segments (32.25%) showed fixed defect, 25/160 segments (15.62%) in controls. Conclusions For type 2 diabetes mellitus+AMI group, myocardial perfusion defects are widely distributed and multivessel or severe stenosis is more often presented. Good correlation exists between abnormal segments and angiographic lesions in both the number of segments involved and the severity of the lesions. Radionuclide myocardial perfusion is therefore considered a useful screening test not inferior to angiography, especially for those who are not tolerent enough to undergoing angiography.
【总页数】2页(P73-74)
【作者】赵佩琴;赵晋华;秦明照;戴浩洁;张润武;肖芬
【作者单位】100730 北京，首都医科大学附属北京同仁医院核医学科;首都医科大学附属北京同仁医院核医学科;100730 北京，首都医科大学附属北京同仁医院核医学科;首都医科大学附属北京同仁医院核医学科;首都医科大学附属北京同仁医院核医学科;首都医科大学附属北京同仁医院核医学科
【正文语种】中文
【中图分类】R587;R541
【相关文献】
1.冠心病合并2型糖尿病的冠脉造影及临床特点分析 [J], 李冬义;刘君;杜作义
2.冠心病合并2型糖尿病患者的临床及冠脉造影的特点分析 [J], 魏则文
3.冠心病合并2型糖尿病患者冠脉造影特点分析 [J], 贺立敏
4.2型糖尿病合并冠心病冠脉造影特点分析 [J], 杨吉操
5.冠心病合并2型糖尿病的冠脉造影特点分析 [J], 刘茂兰
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