双核素心肌断层显像方法.pptx

双核素心肌断层显像方法
双核素心肌断层显像方法
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仪器

◆采取 elscint varicam 双探头SPECT
(GE企业提供），配置超高能准直器
(UHEC)。
◆双探头采取9 Angina pectoris
The patient underwent CABG.
双核素心肌断层显像方法
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Case 3 LJX
44-year-old male without known CAD presented
with a 3 year history of atypical chest pain and
dyspnea on exertion.
Cardiac risk factors included cigarette smoking.
No history of hypertension , diabetes mellitus .
ECG revealed nonsepecific T wave abnormalities.
Echocardiography revealed dilated left ventricle
and left ventricular hypokinesis.
LVEF=25%
双核素心肌断层显像方法
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Clinical course
Cardiac catheterization : Three coronary
vessels.
There was a 80% LAD lesion, 90% narrow
of the left circumflex artery and 50% lesion
in the right coronary artery .
One month later the patient underwent CABG.
双核素心肌断层显像方法
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Case 4 GTB
A 58-year-old man presented with mild
congestive heart failure 1 year. He had often
experienced a chest tightness, and shortness of
breath. Cardiac risk factors included age and
hypercholesterolemia.
The resting ECG revealed LBBB.
The resting MIBI - FDG SPECT(DISA) was
performed.
双核素心肌断层显像方法
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Clinical course
Cardiac catheterization: three coronary
artery disease , LAD 80%
LCX 60%
RCA 95%
The patient underwent PTCA of mid RCA
lesion.
双核素心肌断层显像方法
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Case 5
A man 52 - year - old presented with
progressive exertional angina despite
maximal medical therapy. He had had two
previous myocardial infarction.
Cardiac risk factors included known CAD,
age, hypertension and family history of CAD.
His resting ECG revealed evidence of an old
anterior myocardial infarction.
双核素心肌断层显像方法
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Clinical course
Cardiac Catheterization:100% LAD lesion ,
100% proximal circumflex marginal lesion.
Ventriculogram revealed an anteroapical
aneurysm.
The patie