CLINICAL EVALUATION OF SERIAL THALLIUM-201 MYOCARDIAL SCINTIGRAPHY IN SPECIAL REFERENCE TO LEFT VENTRICULAR FUNCTION IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
スポンサーリンク
概要
- 論文の詳細を見る
In 20 patients with acute myocardial infarction (AMI), serial Tl-201 myocardial scintigraphy was performed and scintigraphic infarct size (SIS) was determined 1 (or less), 2 and 8 weeks after AMI. Hemodynamic indices were determined with a Swan-Ganz catheter at a mean of 27.7 hours after AMI. Left ventricular ejection fraction (EF) was determined with Tc-99m HSA cardiac blood pool scintigram at 8 weeks after AMI. Mapping ECG was also observed serially. Of 20 patients, SIS decreased in 12, was unchanged in 2 and increased in 5 . No image defect was observed on the initial scintigram in one case. When the patients were classified into two groups, i.e. those with initial SIS more than 25% and those with initial SIS less than 25%, hemodynamic indices were demonstrated to be more markedly impaired in the former than in the latter. However, when all patients were pooled, correlations between the initial SIS and hemodynamic indies (CI, SI, SWI, PADP) were poor. There was a good correlation between SIS and EF both determined 8 weeks after AMI. When the patients were clasified into the improved and unimproved groups according to the per cent change of SIS (CIS), both hemodynamic indies on admission and EF at 8 weeks were better in the improved than in the unimproved group, and especially significant correlation was found between CIS and each of SI and PADP. There was a good correlation between maximum ΣST in mapping ECG and SIS at 1 week after AMI. From these results, it is suggested that a decrease in SIS in serial Tl-201 myocardial scintigrams represents the presence of transiently ischemic area and that serial Tl-201 myocardial scintigraphy performed from the initial stage after AMI may provide a useful information for evaluating the effect of therapeutic intervention and predicting the prognosis.
- 社団法人日本循環器学会の論文
- 1980-10-20
著者
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KUROZUMI Hiroaki
The 1st Department of Internal Medicine. Kobe University School of Medicine
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Fukuzaki Hisashi
The First Department Of Internal Medicine Kobe University School Of Medicine
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Kobayashi Katsuya
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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Kurogane Hiroyuki
The First Depertment of Internal Medicine, Kobe University Scbool of Medicine.
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Kurogane Hiroyuki
The First Department Of Internal Medicine School Of Medicine Kobe University
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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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Kurogane Hiroyuki
Department Of Cardiology Miki City Hospital
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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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Maeda Kazumi
The First Department Of Internal Medicine Kobe University School Of Medicine Kobe
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Kobayashi K
The First Department Of Internal Medicine Kobe University School Of Medicine
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Nakashima Yoshiharu
The First Department Of Internal Medicine Kobe University School Of Medicine
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Kobayashi Katzuya
Dept Of Intern Med. Div. I Kobe Univ. School Of Med.
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Kurozumi Hiroaki
The 1st Department Of Internal Medicine Kobe University Shool Of Medicine
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Maeda Kazumi
Department Of Internal Medicine Devision I Kobe University School Of Medicine
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