https://scholars.lib.ntu.edu.tw/handle/123456789/524429
標題: | Enhanced external counterpulsation reduces lung/heart ratio at stress in patients with coronary artery disease | 作者: | CHII-MING LEE YEN-WEN WU Jui H.-Y. MING-FONG CHEN Lee Y.-T. Soran O. |
公開日期: | 2006 | 卷: | 106 | 期: | 4 | 起(迄)頁: | 237 | 來源出版物: | Cardiology | 摘要: | Enhanced external counterpulsation (EECP) is a recently approved treatment modality for patients with angina and heart failure. However, the efficacy of EECP on left ventricular (LV) function has not been well established.The study was aimed to determine whether EECP leads to an improvement in objective parameters of LV function. Patients with coronary artery disease (n = 10) who showed evidence of stress-induced myocardial ischemia despite conventional medical or surgical therapies were enrolled and received EECP therapy for a total of 35 h. The therapeutic effects of EECP were examined by thallium-201 single-photon emission computed tomography (201Tl-SPECT). Compared with baseline, the lung/heart ratio at stress decreased significantly from 0.40 ± 0.08 to 0.35 ± 0.08 (p= 0.001) at 1 month and 0.33 ± 0.10 (p = 0.03) at 6 months following EECP treatment. LV ejection fraction marginally improved from 56.7 ± 7.7% to 57.6 ± 5.9% (p = 0.382) at 1 month and to 60.1 ± 8.6% (p = 0.062) at 6 months after EECP therapy, although not statistically significant. We concluded that EECP improved LV function, shown as the reduction of lung/heart ratio at stress, in patients with coronary artery disease, up to 6 months after EECP treatment. Copyright ? 2006 S. Karger AG. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33751088566&doi=10.1159%2f000093192&partnerID=40&md5=cfda6fac3710e76c08e111bf728c598b https://scholars.lib.ntu.edu.tw/handle/123456789/524429 http://ntur.lib.ntu.edu.tw//handle/246246/224610 |
ISSN: | 0008-6312 | DOI: | 10.1159/000093192 | SDG/關鍵字: | antithrombocytic agent; beta adrenergic receptor blocking agent; calcium antagonist; dipeptidyl carboxypeptidase inhibitor; glyceryl trinitrate; hydroxymethylglutaryl coenzyme A reductase inhibitor; thallium 201; adult; article; clinical article; controlled study; coronary artery disease; counterpulsation; female; follow up; heart left ventricle ejection fraction; heart left ventricle function; heart muscle ischemia; human; male; priority journal; single photon emission computer tomography; stress; treatment outcome; Coronary Arteriosclerosis; Counterpulsation; Female; Heart; Humans; Lung; Male; Middle Aged; Myocardial Ischemia; Stress; Systole; Thallium Radioisotopes; Tomography, Emission-Computed, Single-Photon; Ventricular Function, Left |
顯示於: | 醫學系 |
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