五洲会何作祥核心脏病学现状与进展a课件.ppt

1、五洲会何作祥核心脏病学现状与进展a课件心肌灌注显像正常与异常的冠状动脉再血管化治疗比例（N=1053）Patients with a normal stress myocardial perfusion imaging are at low risk for cardiac events(1%mortality per year),even in the presence of angiographically significant coronary artery stenosis.al Circulation 2000;101:244-511,138 Were assigned to me

2、dical-therapy group27 Had a lesion that could not be dilatedWang F,et al.Predictors of the subsequent development of acute ischemic syndromesAngiographic CADand increased lung uptakemarkers of provocative ischemiaNamdar M,et al.心肌SPECT正常与异常患者的冠状动脉造影率对比（N=1053）心肌灌注显像正常与异常的冠状动脉再血管化治疗比例（N=1053）心肌SPECT正

3、常与异常患者的冠状动脉造影率对比（N=1053）J Am Coll Cardiol.1,006 Received at least one stentPatients LevelHyperlipidemiaIntroduction to Nuclear Medicine心肌灌注显像正常与异常的冠状动脉再血管化治疗比例（N=1053）Stenosis 50%(n=51)1,149 Were included in the primary analysisNamdar M,et al.Yang MF,NMC,2006Gated SPECT vs.1999;33:2092-2197.Severe CalcificationEBT Baseline Calcium ScoreKaplan-Meier survival for patients by residual ischemiaCirculation 1998EBT Calcium Score and SPECT Thallium Stress Testing75%with 2 orVascular Level