Effect of cardiac shock wave therapy on electrocardiogram and myocardial perfusion in coronary artery disease patients
10.3969/j.issn.1004-8812.2024.06.004
- VernacularTitle:心脏体外震波治疗对冠心病患者心肌灌注及心电图的影响
- Author:
Chun-Mei TIAN
1
;
Jing-Jing ZHENG
;
Na JIA
;
Lin ZHANG
;
Bao-Yi LIU
;
Jun-Meng LIU
;
Ming LAN
;
Bing LIU
Author Information
1. 北京医院心内科 国家老年医学中心 中国医学科学院老年医学研究院,北京 100730
- Keywords:
Coronary artery disease;
Cardiac shock wave therapy;
Myocardial ischemia;
Electrocardiogram
- From:
Chinese Journal of Interventional Cardiology
2024;32(6):317-323
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of cardiac shock wave therapy(CSWT)on ST deviation of electrocardiogram and myocardial perfusion imaging in coronary artery disease(CAD)patients.Methods CAD patients who received CSWT in Cardiology Department of Beijing Hospital from December 2016 to August 2022 were enrolled.Three months of CSWT were conducted with a total of 9 times shock wave treatment.Clinical data,myocardial perfusion imaging data and stress electrocardiogram data were collected.Myocardial perfusion score,electrocardiographic data were compared before and after CSWT.Results A total of 55 patients were finally enrolled.There were 43 male and 12 female patients with an average age of(67.45±8.96)years old.ST deviation on 12 leads of electrocardiogram did not show significant difference before and after CSWT.Myocardial perfusion imaging showed global stress perfusion score(P=0.031)and reverse perfusion score(P=0.024).Global rest ischemia score reduced after CSWT(P=0.034).Target stress perfusion score(P=0.002),target reverse perfusion score(P=0.002),target reverse ischemic area(P=0.001)were improved after CSWT.Conclusions CSWT may not influence ST deviation of electrocardiogram,but may improve myocardial ischemia in CAD patients,