MORPHOLOGICAL ASSESSMENT OF LEFT VENTRICULAR WALL AND VENTRICULAR ANEURYSM BY THALLIUM-201 MYOCARDIAL EMISSION COMPUTED TOMOGRAPHY
スポンサーリンク
概要
- 論文の詳細を見る
To evaluate the influence of left ventricular (LV) aneurysm on non-infarcted ventricular wall, the shape of the left ventricular wall was assessed by thallium-201 single photon emission computed tomography (SPECT) .From the morphology of the ventricular wall close to the apex, the rest images along the transaxis, horizontal long axis and vertical long axis were classified into 4 types: convergent, parallel, divergent and completely defective. LV aneurysm was detected by 2-dimensional echocardiography and/or contrast left ventriculography in 39 of 80 patients with previous myocardial infarction. Although convergence in the normal configuration of ventricular walls close to the apex, 4 of 39 patients with LV aneurysm showed this pattern. The divergent type was very specific (100%) and the most sensitive (56.4%) of the 4 for identifying LV aneurysm. Moreover, the parallel configuration indicated aneurysm in cases of inferoposterior infarction and all the completely defective cases exhibited this abnormality. Thus, thallium-201 SPECT is suitable for observing the morphology of the ventricular wall and can provide highly reliable information for detecting postinfarction ventricular aneurysm with a sensitivity of 89.7%, a specificity of 87.8% and a diagnostic accuracy of 88.8%.
- 社団法人日本循環器学会の論文
- 1988-07-20
著者
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IIMURA Osamu
Division of Nephrology, Department of Internal Medicine, Jichi Medical School
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Iimura Osamu
The Second Department Of Internal Medicine Sapporo Medical College
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Nakata Tomoaki
Sapporo Medical University School Of Medicine
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Uno Kikuya
The Second Department Of Internal Medicine Sapporo Medical College
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Iimura Osamu
Department Of Nephrology Jichi Medical School
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Iimura Osamu
The 2nd Department Of Internal Medicine Sapporo Medical College. Sapporo. Japan
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Iimura Osamu
The 2nd Department Of Internal Medicine Sapporo Medical College
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Nakata Tomoaki
The Second Department Of Internal Medicine Sapporo Medical College
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NOTO TETSUYA
The Second Department of Internal Medicine, Sapporo Medical College
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Iimura Osamu
The 2nd. Department Of Internal Medicine Sapporo Medical College
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Iimura Osamu
The Second Department Of Internal Medicine Sappolo Medical College
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TANAKA SHIGEMICHI
The Second Department of Internal Medicine,Sapporo Medical College
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MURAKAMI HIRONORI
The Second Department of Internal Medicine,Sapporo Medical College
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TSUDA TAKATOSHI
the Department of Radiology, Sapporo Medical College
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KUBOTA MASAHIRO
the Department of Radiology, Sapporo Medical College
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MORITA KAZUO
the Department of Radiology, Sapporo Medical College
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Nakata Tomoaki
Department Of Nuclear Medicine Hokkaido University School Of Medicine
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Tanaka Shigemichi
Department Of 2nd Internal Medicine Sapporo Medical College
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Tanaka Shigemichi
The Second Department Of Internal Medicine Sapporo Medical College
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Noto Tetsuya
The Second Department Of Internal Medicine Sapporo Medical College
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Kubota Masahiro
The Department Of Radiology Sapporo Medical College
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Iimura O
Department Of Nephrology Jichi Medical School
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Tsuda Takatoshi
The Department Of Radiology Sapporo Medical College
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Murakami Hironori
The Second Department Of Internal Medicine Sapporo Medical College
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Murakami Hironori
The 2nd. Department Of Internal Medicine Sapporo Medical College
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Morita Kazuo
The Department Of Radiology Sapporo Medical College
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Nakata Tomoaki
The Second Department Of (cardiology) Of Internal Medicine
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IIMURA OSAMU
The Second Department of Internal Mdicine, Sapporo Medical College
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TANAKA SHIGEMICHI
The Second Department of Internal Mdicine, Sapporo Medical College
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