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对46例冠心病(CAD)患者和15例正常人进行食道心房调搏(TAP)99mTc-甲氧基异丁基异腈(MIBI)心肌灌注断层显像,并与运动心肌断层显像进行对比研究.结果表明:TAP心肌灌注断层显像对CAD诊断的灵敏度和特异性分别为86.96%与93.33%,与运动心肌断层显像结果相近;对CAD心肌缺血的定位诊断与运动心肌断层显像密切相关,r=0.95.提示TAP心肌灌注断层显像对不能耐受运动心肌显像的早期CAD和可疑CAD患者具有较大的实用价值.
Forty-six patients with coronary artery disease (CAD) and 15 normal subjects underwent myocardial perfusion tomography with 99mTc-methoxyisobutylisonitrile (MIBI) in esophageal atrial pacing (TAP) and compared with myocardial perfusion imaging. The results showed that the sensitivity and specificity of TAP myocardial perfusion tomography in diagnosis of CAD were 86.96% and 93.33%, respectively, which were similar to those of exercise myocardial tomography. The localization of myocardial ischemic cardiomyopathy and myocardial infarction Imaging is closely related, r = 0.95. Tip TAP myocardial perfusion tomography myocardial imaging can not tolerate early CAD and suspicious CAD patients have greater practical value.