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摘要


我們報導一個只有單一左側冠狀動脈病例之鉈-201單光子射出電腦斷層造影發現及冠狀動脈血管攝影結果。病人之胸痛症狀應該導因於心肌缺血,此情形可能是單一左側冠狀動脈病患在壓力刺激下,大部份心肌血流流向正常血管之 “steal phenomenon” 所造成。我們的結果認為鉈-201心肌閃爍造影在偵測單一左側冠狀動脈病患之心肌缺血方面不失為一有用之方法。

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並列摘要


A case of single left coronary artery is presented with the correlation between the results of thallium-201 (T1-201) myocardial single photon emission computed to-mography (SPECT) and coronary angiographic findings. The chest pain in this case might be partly secondary to the myocardial ischemia, under stress, which could result from the steal phenomenon to normal perfusion myocardium due to anatomical anomaly of single left coronary artery. Our findings suggest that T1-201 myocardial SPECT could be a useful method for detecting myocardial ischemia in patients with single left coronary artery.

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