存活心肌的評(píng)價(jià)和臨床意義溫州醫(yī)學(xué)院附屬第一醫(yī)院張懷勤-資料下載頁
2025-10-02 19:32本頁面
【導(dǎo)讀】糖尿病代謝綜合癥。睡眠呼吸暫停綜合癥。冠狀動(dòng)脈病變范圍。AMI時(shí)深的倒置T波。早期成功再灌注時(shí)T波倒置。體表心電圖一過性QS波。心絞痛發(fā)作時(shí)的缺血性改變。是識(shí)別存活心肌的金標(biāo)準(zhǔn)。的心肌糖代謝旺盛,提示心肌存活。常規(guī)運(yùn)動(dòng)-再分布心肌顯像。運(yùn)動(dòng)-再分布-再注射心肌顯像對(duì)于CRV術(shù)后室壁收縮功能。改善的陽性預(yù)測值為69%，陰性預(yù)測值為89%。
【正文】 Medical therapy % P 2 =147 ? 2 = ? Death rate (%/yr) % P= Allman et al JACC 2020 核素 /心超 和預(yù)后 MetaAnalysis of 24 Studies – 3,088 Patients CP12757288 PARR2 PET指導(dǎo)治療和標(biāo)準(zhǔn)治療 Event free survival Days PET arm Standard arm 430 patients p = Beanlands R et al. JACC 2020。13:2020. CP13149741 Beanlands R et al: JACC 50:2020, 2020 Days ADHERE arm Standard arm PARR2 PET指導(dǎo)治療和標(biāo)準(zhǔn)治療 Event free survival p = CRT Response SPECT Predicts LVEF Response to CRT 27 ≥27 n=50 Mean LVEF=20% P= %Pts with Positive Echo Response Adelstein E et al. AHJ 2020。153:110 CP13151405 Total scar score Ypenburg et al: EHJ 28:33, 2020 Absolute change in LVEF (%) n=51 pts mean LVEF=22% r=, P 10 0 10 20 30 0 10 20 30 40 SPECT Scar and CRT Response CP13229032 Change in EF (%) Total scar (%) r= P= White. JACC 2020。48:1953 MRI and CRT Response 存活心肌對(duì)預(yù)后的影響 Adapted, with permission, from Allman et al. 心功能不全存活心肌檢查流程
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