电邮这篇文章 Diagnosis of coronary atherosclerosis using stress echocardiography with bicycle exercise
- 作者: Duplyakov DV1,2, Emelyanenko VM1,2, Svetlakova LP1,2, Goleva SV1,2, Sysuenkova EV1,2
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隶属关系:
- Центр медицины труда АО "АвтоВАЗ", Тольятти
- 32-й ЦВМКГ, Москва
- 期: 卷 79, 编号 11 (2004)
- 页面: 14-19
- 栏目: Editorial
- URL: https://journals.rcsi.science/0040-3660/article/view/29899
- ID: 29899
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Aim. To determine sensitivity and specificity of stress echocardiography (SEC) in diagnosis of stenosing
atherosclerosis of coronary arteries (CA), especially in patients recovered from Q-myocardial infarction.
Material and methods. The above sensitivity and specificity were studied in 75 patients (70 males and
5 females; mean age 53.7 ± 7 years) with coronary atherosclerosis (CS).
Results. The sensitivity of impaired local contractility index (IL CI) in univessel lesion was 77.8%, in
multivessel lesion - 90.4%, specificity - 85.7%. Sensitivity of other parameters studied was for development
of an anginal episode 65.4%, increment of ejection fraction under 5% - 63.9%, increased
end systolic volume - 61.1 %, depression of ST segment - 48.1 %, increased end diastolic volume
38.9%. A total of 3 parameters had 100% sensitivity: impossible a > 5% rise of EF in response to exercise,
an increase of end systolic and diastolic volumes, anginal attack (85.7%), ST depression
(78.6%).
Conclusion. Hemodynamic parameters must be assessed in the course of SECG for objectiviiation of
the result and improvement of its specificity.
atherosclerosis of coronary arteries (CA), especially in patients recovered from Q-myocardial infarction.
Material and methods. The above sensitivity and specificity were studied in 75 patients (70 males and
5 females; mean age 53.7 ± 7 years) with coronary atherosclerosis (CS).
Results. The sensitivity of impaired local contractility index (IL CI) in univessel lesion was 77.8%, in
multivessel lesion - 90.4%, specificity - 85.7%. Sensitivity of other parameters studied was for development
of an anginal episode 65.4%, increment of ejection fraction under 5% - 63.9%, increased
end systolic volume - 61.1 %, depression of ST segment - 48.1 %, increased end diastolic volume
38.9%. A total of 3 parameters had 100% sensitivity: impossible a > 5% rise of EF in response to exercise,
an increase of end systolic and diastolic volumes, anginal attack (85.7%), ST depression
(78.6%).
Conclusion. Hemodynamic parameters must be assessed in the course of SECG for objectiviiation of
the result and improvement of its specificity.
作者简介
D Duplyakov
Центр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, МоскваЦентр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, Москва
V Emelyanenko
Центр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, МоскваЦентр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, Москва
L Svetlakova
Центр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, МоскваЦентр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, Москва
S Goleva
Центр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, МоскваЦентр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, Москва
E Sysuenkova
Центр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, МоскваЦентр медицины труда АО "АвтоВАЗ", Тольятти; 32-й ЦВМКГ, Москва
参考
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- Marangelli V., fliceto S., Piccinni G. et al. Detection of coronary artery disease by digital stress echocardiography: comparison of exercise, transesophageal atrial pacing and dipyridamole echocardiography. J. Am. Coll. Cardiol. 1994; 24 (1): 117-124.
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- Roger V. L., Pellikka P. A., Oh J. K. et al. Identification of multivessel coronary artery disease by exercise echocardiography. J. Am. Coll. Cardiol. 1994; 24: 109-114.
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