心肌分数血流储备(FFR)测量结果与心肌灌注SPECT在鉴别缺血严重程度上的不匹配:FFR在既往心肌梗死患者中的缺陷。

Shigemasa Tani, Ikuyoshi Watanabe, Chikara Kobari, Michiaki Matsumoto, Takuya Miyazawa, Yasuhito Iwamoto, Akihito Tsutsui, Kazuhiro Hagikura, Tomohiro Furuichi, Naoya Matsumoto, Yuichi Sato, Toshio Kushiro, Ken Nagao, Katsuo Kanmatsuse
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引用次数: 8

摘要

我们经历了两例罕见的FFR结果与心肌灌注SPECT结果不匹配的心肌梗死后心肌缺血的鉴定。如果将心绞痛患者的FFR截断值0.75应用于心肌梗死患者,则可能低估了缺血的严重程度。
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Mismatch between results of myocardial fractional flow reserve (FFR) measurements and myocardial perfusion SPECT for identification of the severity of ischemia: pitfall of FFR in patients with prior myocardial infarction.

We experienced two rare cases of mismatch between the results of FFR and myocardial perfusion SPECT for identification of myocardial ischemia after myocardial infarction. If a FFR cutoff value of 0.75 is applied as in angina patients to patients with myocardial infarction, the severity of ischemia may be underestimated.

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