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Ischemic heart disease diagnosis and treatment

Coronary artery disease, and the exclusion of congenital heart disease, valvular disease, hypertension, alcohol, disease, peripartum cardiomyopathy and heart attack caused by adriamycin and other changes, all cases were physical examination, x ray, and echocardiography examination have increased left heart, and with different degrees of heart failure, including 28 cases of grade NYHAII, Ⅲ ~ Ⅳ grade in 16 cases. Patients had routine 12-lead EKG examination. Diagnosis and treatment of 44 patients 1.2 echocardiography according to the U.S. Institute of proposed standard echocardiography, the left ventricle is divided into 16 segments with normal activities for the I-level, activities were reduced to grade Ⅱ, Ⅲ grade for the non-actors, activity disorder (dyskinesia) were grade Ⅳ; and measured systolic left ventricular diastolic diameter. Using color ultrasound scanner (Philips) probe frequency is 7 ~ l1MHz,MBT schuhe preise, check the bilateral carotid artery, carotid bifurcation and proximal internal carotid artery, measured from the intima plaque for prominent lumen diameter and width and measurement of endometrial thickness of a middle-level (1MT). 12 patients 99mTcMIBI (methoxy isobutyl isonitrile) single photon emission computed tomography of the wall is divided into 16 segments,Christian Louboutin Ireland, segments appear when a decline in the normal 2 or more of the color scale changes and by other axis confirmed that determine the distribution of the abnormal segment is divided into full defect, even reduce, reduce uneven, spotted like. 2 Results All patients underwent routine l2-lead ECG showed: 18 patients with anterior myocardial infarction, septal myocardial infarction in 8 cases,Links of London Charms, 12 cases of inferior wall myocardial infarction, non ST segment elevation myocardial infarction,vibram five fingers singapore, 4 cases of non-sustained ventricular heart too Speed 2; to coronary angiography showed single vessel disease l4 cases of patients with multivessel disease 3O; heart wall ultrasound examination showed 20 cases of grade Ⅱ activities, Ⅲ grade l6 cases, Ⅳ grade in 8 cases, 8 cases NYHA3 4 grade diffuse wall movement disorder; by ultrasound have varying degrees of arterial plaque. 3 Discussion of coronary angiography that confirmed by the lesion, clinical with cardiac enlargement and cardiac dysfunction, the exclusion of congenital heart disease, valvular disease, alcohol, disease, and 46 foreign medical CHINAFOREIGNMEDICALTREATMENT A heart attack caused by adriamycin and other changes After the ICM should consider the possibility. But should identify with the DCM + fI, radionuclide tomography myocardial perfusion imaging, echocardiography, carotid ultrasonography in identifying those - be helpful. . The importance of diagnosis of ICM further by dual radionuclide emission tomography examination or were elements (II'71,) revealed they had viable myocardium, the line of PCI or coronary artery bypass grafting or myocardial salvage winter lll; this allows the ICM prognosis and the prognosis of DCM will be significantly different. Have survived heart JIj 【particular preoperative LVEF {k ~ AMI patients under PCI can clearly improve heart function _j1, ICM will be no different. ICM than DCM myocardial injury in patients with more significant, higher degree of fibrosis; this restored myocardial perfusion imaging showed a larger defect, the diagnosis of ICM higher. This lIl1 【1 case 12 cases have more complete defect in 2 cases even reduce, reduce,mbt shoes outlet, or piebald like no lack of uniform, who is the characteristic performance of DCM, suggesting that radionuclide myocardial perfusion imaging for identification of sheep IIDCM have lCM a certain value. ICM can occur when the heart super regional wall weakening of activity, but Eritrea ft 'disorders, while the DCM is showing diffuse wall movement disorder. When the next order ICM with low EF can also be filled with wall movement disorder emerged, this heart ultrasonography for the performance of {44 cases: 20 cases of grade Ⅱ activity, Ⅲ grade l6 cases, Ⅳ grade in 8 cases, 8 cases NYHA3 ~ 4 cashmere ': diffuse wall movement disorder, and Vigina minds think alike. IcM】 l typically be found in coronary artery lesion paw shirt, while associated with carotid atherosclerosis. All cases, 42 cases with carotid artery carotid artery plaque predicted muscle block ICM was 84.6% sensitivity and specificity of 89% i. Recognition is determined by carotid artery ultrasound examination can provide the basis for the diagnosis of coronary heart disease, the sensitivity was 84. · ¨ heterosexual 75.3%, positive predictive of 88.4%. Carotid ultrasound article 4 () patients lM patients had varying degrees of plaque is Androulakis and Wang's rank and file is said to mention 『total.