心肌运动图

The mismatch or match segments of gated DISA imaging were defined by two experienced physicians of nuclear medicine who are not aware of clinical data. Regional wall motion score were interpreted as 16 segments system by American Echocardiography Association in 5 score: 0=regional wall motion normal; 1=slight decrease of regional wall motion; 2=severe decrease of regional wall motion; 3=dyskinesia; 4=akinesia.

门控DISA SPECT结果，由两位核医学科医生采用双盲法判断心肌灌注／代谢匹配情况，并根据美国超声心动图学会16段法分段，以5分法判断各节段局部室壁运动记分：0分=局部室壁运动正常；1分=运动轻度减低；2分=运动明显减低；3分=无运动；4分=反向运动。

The accuracy, sensitivity and specificity of the prediction to the myocardial viability were evaluated with DSE according to the actual recovery of the myocardial contractibility about six months after PCI.

以冠脉介入治疗术后6个月静息超声心动图心肌收缩运动恢复情况为标准评价多巴酚丁胺负荷超声心动图预测存活心肌的准确性、敏感性和特异性。

The left ventricular internal dimension at end diastole, interventricular septal thickness at end diastole and left ventricular posterior wall thickness at end diastole were measured in the parastemal long axis view by transthoracic two-dimensional echocardiography, and to calculate left ventricular ejection fraction with Teichholtz formula and left ventricular mass with modified Devereux formula, left ventricular mass index=LVM/body surface area. From the apical four chamber and two chamber view, the basical segment and middle segment of interventricular septal, left ventricular lateral wall, anterior wall and inferior wall were obtained by tissue Doppler imaging, Regional left ventricular relaxation asynchrony index was calculated.

应用二维超声心动图在胸骨旁左心室长轴观测量左心室舒张末期内径、室间隔和左心室后壁舒张末期厚度，采用Teichholtz公式计算左心室射血分数，采用Devereux校正公式计算左心室心肌质量，左心室心肌质量指数=左心室心肌质量/体表面积；在心尖四腔心和心尖两腔心切面，应用组织多普勒成像获取室间隔、左心室侧壁、前壁和下壁的基底段和中间段8个心肌节段沿左心室长轴运动的速度频谱，测算左心室局部心肌松弛不同步性指数(regional left ventricular relaxation asynchrony index， AI)；在心尖四腔心切面，应用彩色M型多普勒超声心动图测量左心室舒张早期血流传播速度。

Objective To investigate the diagnostic value of exercise electrocardiography test, single photon emission computed tomography and dobutamine stress echocardiography in coronary artery disease.

目的 评价运动心电图试验、心肌灌注单光子发射计算机断层显像、多巴酚丁胺负荷超声心动图对冠心病的诊断价值。

Objective:Contrasts the multi-Pakistan phenol butylamine load cardic muscle raster display and the physiological load of exercise ultrasonic cardiogram to the saccharorrhea patient coronary disease clinical diagnosis value.

目的：对比多巴酚丁胺负荷心肌显像与运动负荷超声心动图对糖尿病人冠心病的临床诊断价值。

Is clear about above the saccharorrhea medical history for 5 years to doubt examines the coronary disease person 71 examples,in 2 weeks successively line of Pakistan phenol butylamine load-static state cardic muscle raster display and movement ultrasonic cardiogram.

明确糖尿病史5年以上而疑诊冠心病人71例，2周内先后行多巴酚丁胺负荷-静态心肌显像及运动超声心动图。

Methods: The motion of parasternal papillary muscle anterior wall, inferior wall, posterior wall, and lateral wall were detected by 2DE at short axis view of left ventricle before PTCA, 3 d and 1-3 months after PTCA in 33 cases of patients with coronary heart disease, who received PTCA+stent at selected time. Peak systolic velocity of subendocardial, subepicardial and middle layer myocardium, transmural velocity difference of the same segments and Outer lateral mitral valve annulus were also detected at apical 4 chamber view by pulsed wave tissue Doppler imaging.

对33例择期行PTCA+支架术的冠心病患者用HP5500型超声诊断仪，于PTCA术前及术后3d、1-3个月对胸骨旁左心室乳头肌短轴切面的前间壁、下壁、后壁、侧壁行二维超声心动图(2DE)检测各节段的室壁运动情况，用脉冲组织多普勒成像检测上述各节段的内、外膜下及中层心肌的收缩期峰值速度，内外膜下心肌的收缩速度差及心尖四腔观二尖瓣外侧环的收缩期峰值速度。

objective trimetazidine has shown anti-ischemic properties to improve exercise tolerance without haemodynamic effects and direct cyto protective effect on the myocardium.however,it is not clear whether trimetazidine has beneficially effect on severe ischemic cardiomyopathy.methods 19patients（68±9）years with postnecrotic left ventricular dysfunction（ejection fraction31.7%±5.4%）were studied to examine the benefit of adding60mg a day of trimetazidine for3months to the classical therapy.the assessment included clinical evaluation,electrocardiography and echocardiography.results after adding60mg a day of trimetazidine for3months,attack of angina was relieved and dyspnea was improved（p.05）.but heart rate,systolic blood pressure,rate pressure product,ejection fraction,left ventricular volume and global wall motion index were not changed.conclusion trimetazidine seems to improve clinical status while can not change oxygen supply-to-demand ratio without adverse effects in patients on severe ischemic carˉdiomyopathy.

目的 曲美他嗪是一种新型的抗心肌缺血的药物，能够改善患者的运动耐量和心肌的直接保护作用同时并没有血流动力学效应。但目前对于严重缺血性心肌病患者的临床治疗价值还需要进一步观察。方法 19例（68±9）岁确诊为缺血性心肌病（左心室射血分数0%）的患者在常规治疗的基础上加用每日60mg曲美他嗪治疗3个月，随诊观察患者临床情况以及超声心动图指标的变化。结果 19例患者均可耐受在常规治疗基础上加用每日60mg曲美他嗪的治疗，随诊发现患者心绞痛发作明显减少，运动耐量明显改善。同时患者心率、收缩压、心率血压乘积、左心室射血分数、左心室容量以及整体室壁运动指数无明显改变。结论缺血性心肌病的患者在常规治疗基础上加用曲美他嗪是安全的，同时其能明显改善患者的临床状态，而这种作用并不改变心肌氧的供求比值。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。