负荷超声心动图规范化操作指南

被引：40

作者：

张运

尹立雪

邓又斌

任卫东

穆玉明

张梅

许迪

王胰

丁戈琦

机构：

[1] 中华医学会超声医学分会超声心动图学组

[2] 山东大学齐鲁医院心内科

[3] 四川省人民医院心血管超声及心功能科

[4] 华中科技大学同济医学院附属同济医院超声影像科

[5] 中国医科大学附属盛京医院超声科

[6] 新疆医科大学第一附属医院心脏超声诊断科

[7] 南京医科大学第一附属医院老年心血管病科

来源：

中国医学影像技术 | 2017年 / 33卷 / 04期

关键词：

负荷超声心动图; 冠心病患者; 运动负荷试验; 室壁运动异常; 平板运动; 心肌缺血; 短轴切面; 丁胺; 1—氨基丁烷; 伯胺; 心率; 超声心动图学; 阿托品; 颠茄碱; 操作指南;

D O I：

10.13929/j.1003-3289.201609116

中图分类号：

R540.45 [];

学科分类号：

1002 ; 100201 ;

摘要：

<正>1负荷超声心动图的原理根据经典的心肌缺血进展层级金字塔模型（图1）[1],超声心动图检测室壁运动异常早于心电图改变,因此其诊断心肌缺血的敏感性优于心电图。冠状动脉在正常状态下,有很强的代偿应激能力,运动负荷后心

引用

页码：632 / 638

页数：7

共 7 条

[1]

超声心动图学[M]. 人民卫生出版社 , 王新房, 2008

[2] 2013 ESC guidelines on the management of stable coronary artery disease [J].

Montalescot, Gilles ;

Sechtem, Udo ;

Achenbach, Stephan ;

Andreotti, Felicita ;

Budaj, Andrzej ;

Bugiardini, Raffaele ;

Crea, Filippo ;

Cuisset, Thomas ;

Di Mario, Carlo ;

Rafael Ferreira, J. ;

Gersh, Bernard J. ;

Gitt, Anselm K. ;

Hulot, Jean-Sebastien ;

Marx, Nikolaus ;

Opie, Lionel H. ;

Pfisterer, Matthias ;

Prescott, Eva ;

Ruschitzka, Frank ;

Sabate, Manel ;

Senior, Roxy ;

Taggart, David Paul ;

van der Wall, Ernst E. ;

Vrints, Christiaan J. M. ;

Knuuti, Juhani ;

Valgimigli, Marco ;

Bueno, Hector ;

Claeys, Marc J. ;

Donner-Banzhoff, Norbert ;

Erol, Cetin ;

Frank, Herbert ;

Funck-Brentano, Christian ;

Gaemperli, Oliver ;

Gonzalez-Juanatey, Jose R. ;

Hamilos, Michalis ;

Hasdai, David ;

Husted, Steen ;

James, Stefan K. ;

Kervinen, Kari ;

Kolh, Philippe ;

Kristensen, Steen Dalby ;

Lancellotti, Patrizio ;

Maggioni, Aldo Pietro ;

Piepoli, Massimo F. ;

Pries, Axel R. ;

Romeo, Francesco ;

Ryden, Lars ;

Simoons, Maarten L. ;

Sirnes, Per Anton ;

Steg, Ph. Gabriel ;

Timmis, Adam .

EUROPEAN HEART JOURNAL, 2013, 34 (38) :2949-+

[3]

Incidence, Pathophysiology, and Treatment of Complications During Dobutamine-Atropine Stress Echocardiography[J] . Marcel L. Geleijnse,Boudewijn J. Krenning,Attila Nemes,Bas M. van Dalen,Osama I.I. Soliman,Folkert J. ten Cate,Arend F.L. Schinkel,Eric Boersma,Maarten L. Simoons.Circulation . 2010 (15)

[4]

American Society of Echocardiography Recommendations for Performance, Interpretation, and Application of Stress Echocardiography[J] . Patricia A. Pellikka,Sherif F. Nagueh,Abdou A. Elhendy,Cathryn A. Kuehl,Stephen G. Sawada.Journal of the American Society of Echocardiography . 2007 (9)

[5] Comparison of safety and efficacy of the early injection of atropine during Dobutamine stress echocardiography with the conventional protocol [J].

Tsutsui, JM ;

Osório, AFF ;

Lario, FC ;

Fernandes, DRA ;

Sodre, G ;

Andrade, JL ;

Ramires, JAF ;

Mathias, W .

AMERICAN JOURNAL OF CARDIOLOGY, 2004, 94 (11) :1367-1372

[6]

ACC/AHA 2002 Guideline Update for Exercise Testing: Summary Article: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines)[J] . Raymond J. Gibbons,Gary J. Balady,J. Timothy Bricker,Bernard R. Chaitman,Gerald F. Fletcher,Victor F. Froelicher,Daniel B. Mark,Ben D. McCallister,Aryan N. Mooss,Michael G. O’Reilly,William L. Winters,Elliott M. Antman,Joseph S. Alpert,David P. Faxon,Valentin

[7]

Exercise Standards for Testing and Training: A Statement for Healthcare Professionals From the American Heart Association[J] . Circulation: Journal of the American Heart Association . 2001 (14)

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