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首页> 外文期刊>Khyber Medical University Journal >VALIDITY OF MYOCARDIAL PERFUSION IMAGING FOR THE DETECTION OF CORONARY ARTERY DISEASE
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VALIDITY OF MYOCARDIAL PERFUSION IMAGING FOR THE DETECTION OF CORONARY ARTERY DISEASE

机译:心肌灌注成像在检测冠状动脉疾病中的有效性

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Objective: To determine validity of myocardial perfusion imaging for the detection of coronary artery disease.Methodology: This was a?hospital based observational study, conducted in department of Cardiology, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, K.P.K, from May 2008 to Jun 2009. Myocardial perfusion imaging was performed for all patients and invasive coronary angiography was taken as gold standard for the detection of coronary artery disease.?Results: Total number of patients was 50; their mean age was 53.8±9.7 years. Men were 35 (70%) and women were 15 (30%). Myocardial perfusion imaging was reported as normal in 5(10%) patients while 45 (90%) had abnormal results. Coronary angiography showed 44 patients (88%) had 50% stenosis in at least one coronary artery. Compared with coronary angiography, the sensitivity, specificity, positive predictive value and negative predictive values of myocardial perfusion imaging for detection of CAD were?98%,?67%,?95%, and?80%?respectively. The sensitivity for the detection of ischemia in LAD, RCA, and CIRC territories were 89.7%, 94.7% and 72.2% respectively.?Conclusion: Myocardial perfusion imaging has a high sensitivity for identifying patients with coronary artery disease.?KEY WORDS: Myocardial perfusion imaging, Coronary artery disease, Coronary angiography?
机译:目的:确定心肌灌注显像在检测冠状动脉疾病中的有效性。方法:这是一项基于医院的观察性研究,于2008年5月至2009年5月在KPK白沙瓦Lady Reading医院Lady Reading医院心脏病学研究所进行。 2009年6月,对所有患者进行了心肌灌注成像,并以有创冠状动脉造影作为检测冠状动脉疾病的金标准。他们的平均年龄是53.8±9.7岁。男性为35(70%),女性为15(30%)。据报道5(10%)名患者的心肌灌注显像正常,而45(90%)名患者异常。冠状动脉造影显示44例患者(88%)至少有一条冠状动脉狭窄> 50%。与冠状动脉造影相比,心肌灌注成像检测CAD的敏感性,特异性,阳性预测值和阴性预测值分别为98%,67%,95%和80%。在LAD,RCA和CIRC区域中检测缺血的敏感性分别为89.7%,94.7%和72.2%。结论:心肌灌注成像对识别冠心病的敏感性高。显像,冠状动脉疾病,冠状动脉造影?

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