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Effects of coronary interventional therapy on CHD patients by two-dimen sional echocardiography test under transesophageal atrial pacing load
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- Author:
- No author available
- Journal Title:
- JOURNAL OF THE FOURTH MILITARY MEDICAL UNIVERSITY
- Issue:
- 4
- DOI:
- 10.3321/j.issn:1000-2790.2000.04.044
- Key Word:
- 冠心病;食管调搏术;经皮冠状动脉腔内球囊成形术;超声心动描记术
Abstract： 目的探讨食管调搏心负荷二维超声心动图试验(TEAPL-2DE)对冠心病(C HD)介入性治疗效果的评价. 方法同期对1995-04/1998-09在我院住院的CHD患者3 8例,行TEAPL-2DE及 CAG检查,并在1 wk后,2 wk内均接受冠状动脉介入性治疗(经皮冠状动脉腔内成形术-PTCA 或P TCA+冠状动脉内支架植入-Stent). 在介入性治疗后1,3,6,12 mo行TEAP-2DE追踪检查 ,并分别与介入治疗前行对比分析. 结果 CHD患者38例接受介入性治疗后12 mo 内TEAP-2DE追踪检查,发现介入治疗后3 mo内疗效最好,3～6 mo时介入性治疗发生再狭窄率最高. 结论 PTC A或PTCA+Stent是CHD介入性治疗中疗效确切,成功率高的方法. TEAPL-2DE是显示局部心肌灌注的定性与半定量的较好方法,可作为介入性治疗后短期和长期疗效评价的可靠、无创伤性及廉价的检查方法,为CHD介入性治疗后随诊中及时发现再缺血而检出再狭窄提供可靠的帮助.
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