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  • Công bố khoa học và công nghệ Việt Nam

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Y học lâm sàng

Phạm Trường Sơn, Vũ Điện Biên, Lê Ngọc Hà(1)

Đặc điểm tổn thương động mạch vành trên phim chụp cản quang và mối liên quan với kết quả xạ hình tưới máu cơ tim ở bệnh nhân đái tháo đường typ2 không có đau ngực điển hình

Characteristic of the angiography findings compared to the result of SPECT myocardial perfusion imaging in type 2 diabetic patients with non-typical angina

Tạp chí Y Dược lâm sàng 108

2011

6

44-49

1859-2872

To characterise the angiography findings and comparing to the result of SPECT myocardial perfusion imaging (MPI) in type 2 diabetic patients of non-typical angina. Materials and methods: A cross-sectional study with MPI and angiography was performed on 92 type 2 diabetic patients. Non-typical angina and risky factors were collected. MPI and angiographic findings were analysed. Results: 45.6 percent of patients had coronary stenosis more than 50 percent. Clasical risky factors cannot predict the presence of corobnary artery disease. The percentage of one -two and three vessel disease was 28.3 percent; 15.2 percent and 20.7 percent respectively. Type A took up the highest percentage with 55.7 percent; type B accounted for 11.4 percent; and type C was 32.8 percent. MPI has sensitivity of 92.7 percent and specificity of 20 percent. Conclusions: In type 2 diabetic patients with non-typical angina, three vessel disease took up the highest percentage and type A was the most common, MPI has very low specificity.

TTKHCNQG, CVv337