CLINICAL EVALUATION OF STRESS MYOCARDIAL SCINTIGRAPHY WITH THALLIUM-201 IN PATIENTS WITH ISCHEMIC HEART DISEASE: Semiquantitative Analysis of Single Dose Myocardial Imaging
スポンサーリンク
概要
- 論文の詳細を見る
In order to evaluate the usefulness of a stress Tl-201 myocardial scintigraphy in semiquantifying the myocardial perfusion, 10 normal subjects and 71 patients with coronary artery diseases were studied with sequential imaging over 3 hours. Myocardial to background ratio (M/B) in the exercise phase was significantly higher in the normal subject group than in the coronary artery disease groups. Three hours after exercise (redistribution phase), M/B decreased significantly in the normal subject group but remained unchanged in the coronary artery disease groups. Percent change of M/B with exercise was lower in the effort angina pectoris group (97±11.2%), and the old myocardial infarction group (101±14.5%) than in the normal subject group (127±12%). Sensitivity and specificity of this method were 93% and 47%, respectively. Out of 11 patients with variant angina pectoris, 9 patients showed positive scintigram. Of the 9, however, 6 cases were without organic coronary stenosis in the coronary angiography. There was a significant correlation between M/B on redistribution images (RD・M/B) and ejection fraction determined by left ventriculograms (r = 0.61, p<0.001), indicating a close relation between the amount of the residual viable myocardium and the left ventricular function. M/B and its percent change with stress Tl-201 myocardial scintigraphy reflect the myocardial perfusion and myocardial perfusion reserve and their semiquantitative analysis provides a useful means for detection of ischemic heart disease.
- 社団法人日本循環器学会の論文
- 1982-03-20
著者
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Fukuzaki Hisashi
The First Department Of Internal Medicine Kobe University School Of Medicine
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Maeda Kazumi
The First Department of Internal Medicine, Kobe University
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Maeda Kazumi
School Of Allied Medical Sciences Kobe University
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Fukuzaki Hisashi
Department Of Thoracie Srugery Osaka Medical College
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MINAMIJI KATSUMI
Himeji Cardiovascular Center
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NAKASHIMA YOSHIHARU
The First Department of Internal Medicine, School of Medicine, Kobe University
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TOKI YASUMASA
The First Department of Internal Medicine, School of Medicine, Kobe University
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Maeda Kazumi
The First Department Of Internal Medicine Kobe University
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Nishimura Yoshihiro
Nippon Steel Corporation Hirohata Works Hospital
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MINAMIJI KATSUMI
The First Department of Internal Medicine, Kobe University School of Medicine
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Fukuzaki Hisashi
The First Department Of Internal Medicine Kobe University
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Nakashima Yoshiharu
Nippon Steel Corporation Hirohata Works Hospital
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Toki Yasumasa
The First Department Of Internal Medicine Kobe University School Of Medicine Kobe Japan
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Minamiji Katsumi
The Department Of Cardiology Himeji Cardiovascular Center
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Maeda Kazumi
The First Department Of Internal Medicine Kobe University School Of Medicine Kobe
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Nakashima Yoshiharu
The First Department Of Internal Medicine Kobe University School Of Medicine
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Mlnamiji Katsumi
The Department Of Cardiology Himeji Cardiovascular Center
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Maeda Kazumi
Department Of Internal Medicine Devision I Kobe University School Of Medicine
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