The Quantitative Diagnosis of Thallium-201 Myocardial Perfusion Images and Vectorcardiograms in Myocardial Infarction and Hypertrophic Cardiomyopathy : The Present Status of Cordiovascular Nuclear Medicine
スポンサーリンク
概要
- 論文の詳細を見る
Correlation studies were carried out between thallium-201 myocardial perfusion images and vectorcardiograms in 77 patients with myocardial infarction (48 anterior and 29 inferior infarctions) and 30 patients with hypertrophic cardiomyopathy. A quantitative method was developed; myocardial ^<201>Tl uptake index (a relative myocardial activity to background, MUI) and myocardial ^<201>Tl uptake ratio (a ratio of regional myocardial counts to maximal myocardial counts, MUR) were utilized to differentiate myocardial infarction from hypertrophic cardiomyopathy, and evaluate them. A fairly good agreement between left ventriculograms and myocardial perfusion images was obtained in myocardial infarction (diagnostic accuracy 95.1% in anterior and 75.6% in inferior infarction). In anterior infarction the linear relationship of r = -0.58 (p < 0.001) was obtained between asynergy index and mean anterior MUR. A highly significant correlation was observed between anterior MUR and the instantaneous 24 msec Z component (r = -0.80, p < 0.001). In inferior infarction, Qy/Ry was correlated to inferior MUR (r = -0.58, p < 0.001). In hypertrophic cardiomyopathy, four types of hypertrophic sites were ~ classified with ^<201>Tl images (septal, apical and anterior, apical and septal, and anterior dominant types). Azimuth angles of instantaneous 10 msec vector were directed right-anteriorly (mean 114.5 degrees) in septal hypertrophy, and left-anteriorly (mean 84.9 degrees) in apical and anterior hypertrophy. Elevation angle of maximal T vector in apical hypertrophy was deviated superiorly (mean 102.6 degrees). There was a good correlation (r = 0.60, p < 0.001) between the magnitude of spatial maximal QRS vector and lateral wall MUR.
- 社団法人日本循環器学会の論文
- 1981-01-20
著者
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Watanabe Yoshihiko
Department Of Cardiology Fujita Health University The 2nd Hospital
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Sotobata Iwao
First Department of Internal Medicine, Nagoya University School of Medicine
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Yasui Shoji
1st Dept. Of Intern. Med. Nagoya Univ School Of Med.
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Inagaki Haruo
Division Of Cardiology Toyota Memorial Hospital
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Inagaki Haruo
Department Of Cardiology Aichi Cardiovascular And Respiratory Center
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Sotobata Iwao
Department Of Internal Medicine Tokoname Municipal Hospital
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Sotobata Iwao
First Dep. Of Intern. Med. Nagoya Univ.
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YASUI SHOJI
First Department of Internal Medicine and Department of Radiology, Yamagata University School of Med
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Kawai Naoki
First Department of Internal Medicine, School of Medicine, Nagoya University
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Kawai Naoki
First Dep. Of Intern. Med. Nagoya Univ.
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Inagaki Haruo
From The Department Of Clinical Laboratory Nagoya University Hospital The First Department Of Intern
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Inagaki Haruo
Dept. Of Clinical Laboratory Toyota Memorial Hospital
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Inagaki Haruo
First Department Of Internal Medicine Nagoya University School Of Medicine
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Sotobata Iwao
First Division Of Internal Medicine Nagoya University School Of Medicine
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WATANABE YOSHIHIKO
First Department of Internal Medicine, Yamagata University School of Medicine
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Watanabe Yoshihiko
First Department Of Internal Medicine Nagoya University School Of Medicine
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Sotobata Iwao
From The Department Of Clinical Laboratory Nagoya University Hospital The First Department Of Intern
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Yasui Shoji
Department Of Internal Medicine Mitsubishi Nagoya Hospital
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Yasui Shoji
1st.department Of Internal Medicine Nagoya University School Of Medicine
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Shiga Yukio
Department Of Internal Medicine Fujita-gakuen Health University School Of Medicine
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Yasui Shoji
First Department Of Internal Medicine Yamagata University School Of Medicine
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Yasui Shoji
1st Dept. Of Intern. Med. Nagoya Univ.school Of Med.
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Yasui Shoji
First Deparment Of Internal Medicine Nagoya University School Of Medicine
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Yoshida Shinji
Department Of Internal Medicine Mitsubishi Nagoya Hospital
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Sotohata Iwao
First Division Of Internal Medicine Nagoya University School Of Medicine
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Sotohata Iwao
Clinical Laboratory Nagoya University Hospital
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