Radionuclide imaging for assessment of myocarditis and postmyocarditic state in infant and children. Thallium-201 myocardial imaging and technetium-99m-HSA gated equilibrium ventriculography.:Thallium-201 Myocardial Imaging and Technetium-99m-HSA Gated Eq

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概要

• 論文の詳細を見る

• T1-201 myocardial imaging and Tc-99m-HSA gated equilibrium ventriculography were performed in 1 infant and 11 children between 2 months old and 12 years old with myocarditis. The time of first evaluation was between 1 week and 13 months after the onset. Their clinical manifestations were congestive heart failure in 2 patients, pericardial effusion in 2 patients, syncope in 1 patient, convulsions in 1 patient and palpitations in 7 patients. Significant elevation of virus antibody titer was demonstrated in 6 patients. A perfusion defect was observed with T1-201 imaging in 9 of 12 patients with myocarditis. A right ventricular image was observed in 5 patients. A reduced LVEF was present in 4 patients and a reduced RVEF was found in 2 patients. Cardiac catheterization was performed in 8 patients and an endomyocardial biopsy was done in 7. The myocardial specimens revealed postmyocarditic pathological changes upon microscopic evaluation. No coronary artery obstructive or stenotic lesions were observed in these patients. T1-201 myocardial imaging is a useful noninvasive technique for evaluating the cardiac performance and myocardial damage in acute myocarditis and the postmyocarditic state. We conclude that T1-201 uptake of myocardium is dependent upon both regional coronary perfusion and the activity of myocardial cells in patients with myocarditis and in the postmyocarditic state.

• International Heart Journal刊行会の論文

著者

• Yabe Yoshimasa

  Cardiovasc. Div. Of Adult Dis. And Dept. Of Radiol. Saiseikai Hosp

• Yamazaki Junichi

  First Department Of Internal Medicine Ohmori Hospital Toho University School Of Medicine

• Morishita Ken

  First Clinic Of Med. Medical School Of Toho University

• Umezawa Tetsuro

  Department of Pediatrics, TOHO University, School of Medicine

• Hashiguchi Reiko

  Department Of Pediatrics Hospital Of Toho University School Of Medicine

• Sato Keiko

  Department Of Epidemiology And Health Care Research Graduate School Of Medicine And Public Health Ky

• Saji Tsutomu

  Department Of First Department Of Pediatrics Toho University Omori Medical Center

• MATSUO Norio

  Department of Pediatric Cardiology, National Children's Hospital

• YABE Yoshimasa

  Cardiovascular Diagnostic Laboratory Center, Toho University, School of Medicine

• KAWAMURA Yasuaki

  First Department of Internal Medicine, Toho University, School of Medicine

• OKUZUMI Kazuo

  First Department of Internal Medicine, Toho University, School of Medicine

• MORISHITA Ken

  First Department of Internal Medicine, Toho University, School of Medicine

• SAJI Tsutomu

  Department of Pediatrics, Toho University, School of Medicine

• MATSUO Norio

  Department of Pediatrics, Toho University, School of Medicine

• YAMAZAKI Junichi

  First Department of Internal Medicine, Toho University, School of Medicine

• SATO Keiko

  Department of Pediatrics, Toho University, School of Medicine

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