Absence of Myocardial ^<123>I-BMIPP Uptake in the Presence of a Normal Coronary Angiogram and Normokinetics on a Left Ventriculogram
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概要
- 論文の詳細を見る
We present the case of a 44-year-old man with abnormal myocardial fatty acid metabolism who exhibited no myocardial uptake of ^<123>I-β-methyl-iodophenyl pentadecanoic acid (^<123>I-BMIPP). This patient presented to our hospital with an ECG abnormality detected during a medical check-up. He felt no chest discomfort, but a 12-lead ECG at rest showed flat T-waves in leads I, V5, and V6 with no marked ischemic changes during exercise. A left ventriculogram and coronary angiograms were normal. Thallium-201 single photon emission computed tomography imaging revealed a normal myocardial uptake, but ^<123>I-BMIPP imaging showed no such uptake. However, ^<18>F-labelled fluorodeoxyglucose positron emission tomography imaging after an over-night fast showed a marked increase in myocardial uptake. It appears that myocardial uptake of ^<123>I-BMIPP was totally lacking and that energy production by the myocardium during fasting depended on the metabolism of glucose rather than of fatty acids.
- 社団法人日本循環器学会の論文
- 1997-02-20
著者
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Hashimoto T
Cardiovascular Medicine Nara Prefectural Mimuro Hospital
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Ishida Yoshio
National Cardiovascular Center
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Hashimoto Toshio
First Department of Internal Medicine, Nara Medical University
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Dohi Kazuhiro
First Department of Internal Medicine, Nara Medical University
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Dohi Kazuhiro
First Department Of Internal Medicine And Department Of Clinico-laboratory Diagnostics Nara Medical
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Dohi Kazuhiro
First Department Of Internal Medicine Nara Medical University
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Dohi Kazuhiro
First Department Of Internal Medicine
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Sakakibara Hiroshi
Cardiac Division, Department of Medicine, National Cardiovascular Center Hospital
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Nishida Yasunori
First Department of Internal Medicine, Nara Medical University
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Dohi K
Nara Medical Univ. Nara Jpn
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Nishida Yasunori
Department of Cardiology, Cardiovascular Center, Kosekai Takai Hospital
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Inoue Fumitaka
First Department of Internal Medicine, Nara Medical University
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Matsushima Akihiko
Cardiovascular Medicine, National Nara Hospital
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Nishida Yasunori
Department Of Cardiology Cardiovascular Center Kosekai Takai Hospital
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Nishida Yasunori
First Department Of Internal Medicine Nara Medical University
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Sakakibara Hiroshi
Cardiovascular Medicine National Nara Hospital
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Matsushima Akihiko
Cardiovascular Medicine National Nara Hospital
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Ishida Yoshio
National Cardiovasular Center
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Hashimoto Toshio
First Department Of Internal Medicine Nara Medical University
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Inoue Fumitaka
First Department Of Internal Medicine Nara Medical University
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Nisida Yasunori
The First Department Of Internal Medicine Nara Medical University
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