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首页> 外文期刊>Therapeutic advances in cardiovascular disease. >Use of carbonated water in reduction of adjacent gastric activity in 456 consecutive technetium-99m myocardial perfusion imaging studies
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Use of carbonated water in reduction of adjacent gastric activity in 456 consecutive technetium-99m myocardial perfusion imaging studies

机译：在456个连续99m心肌灌注成像研究中使用碳酸水减少邻近的胃活动

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Background: Small, observational trials have suggested a reduction in adjacent gastric activity with ingestion of soda water in myocardial perfusion imaging (MPI). We report our findings prior to and after implementation of soda water in 467 consecutive MPI studies.Methods: Consecutive MPI studies performed at a high-volume facility referred for vasodilator (VD) or exercise treadmill testing (ETT) were retrospectively reviewed before and after implementation of the soda water protocol. Patients undergoing the soda water protocol received 100 ml of soda water administered 30 min prior to image acquisition and after stress. Studies were performed using a same day rest/stress protocol. Incidence of adjacent gastric activity, diaphragmatic attenuation, stress and rest perfusion defects, and major adverse cardiovascular events (MACE) outcomes defined as death, myocardial infarction, stroke, reevaluation for chest pain, and late revascularization (90 days from MPI) were abstracted using International Classification of Diseases, Ninth Revision (ICD-9) search.Results: Two hundred and eighteen studies were performed prior to implementation of the soda water protocol and 249 studies were performed with the use of soda water. Baseline demographic data were equal between the groups with the exception of more patients undergoing VD stress receiving soda water (p 0.001). Soda water was not associated with a decreased incidence of adjacent gastric activity with stress (54.7% versus 61.9% with no soda water, p = 0.129) or rest (68.6% versus 69.5% with no soda water, p = 0.919) imaging. Less adjacent gastric activity was observed with patients undergoing ETT who received soda water (42.5% versus 56.9% with no soda water, p = 0.031), but no difference was observed between the groups with VD stress (69.0% versus 68.1% with no soda water, p = 1.000).Conclusion: The use of soda water prior to technetium-99m MPI was associated with lower rates of adjacent gastric activity only in patients undergoing ETT stress but not rest or VD stress. This differs from previously published data.
机译：背景：小型的观察性试验表明，在心肌灌注显像（MPI）中摄入苏打水会降低邻近胃的活动。我们在467项连续MPI研究中报告了苏打水实施前后的发现。方法：在实施之前和之后，回顾性地回顾了在进行血管扩张剂（VD）或运动跑步机测试（ETT）的大容量设施中进行的连续MPI研究。苏打水协议。接受苏打水方案的患者在获取图像之前和压力后30分钟接受100 ml苏打水。使用当天休息/紧张的方案进行研究。摘录了相邻的胃活动，attenuation肌衰减，压力和休息灌注缺陷以及主要不良心血管事件（MACE）结果的发生率，这些事件定义为死亡，心肌梗塞，中风，重新评估胸痛和晚期血运重建（距MPI> 90天）结果：在实施苏打水方案之前进行了218项研究，而使用苏打水进行了249项研究。两组之间的基线人口统计学数据相同，不同的是接受VD压力治疗的更多患者接受苏打水（p <0.001）。苏打水与伴随压力（54.7％而不是无苏打水的61.9％，p = 0.129）或静息（68.6％到69.5％没有苏打水，p = 0.919）的相邻胃活动发生率降低无关。接受ETT接受苏打水的患者的相邻胃活动较少（42.5％对比未加苏打水的56.9％，p = 0.031），但在VD应激组之间未观察到差异（69.0％对比未加苏打的68.1％）结论：tech 99m MPI之前使用苏打水仅在经历ETT应激而不是休息或VD应激的患者中与较低的相邻胃活动率相关。这与以前发布的数据不同。

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