Acute subendocardial myocardial infarction in patients. Its detection by Technetium 99-m stannous pyrophosphate myocardial scintigrams.
نویسندگان
چکیده
Eighty-eight patients admitted to a coronary care unit with chest pain of varying etiology but without ECG evidence of an acute transmural myocardial infarction had myocardial scintigrams using technetium-99m stannour pyrophosphate (99m-Tc-PYP). Seventeen of these patients had ECG and enzymatic evidence suggestive of acute subendocardial myocardial infarction. In each of these the scintigrams were postivie demonstrating increased 99m-Tc-PYP uptake either in a faintly but diffusely positive pattern or in a well-localized strongly positive one. The remaining 71 patients did not evolve ECG or enzymatic evidence of acute myocardial infarction. In each of these patients the myocardial scintigram was negative. Thus 99m-Tc-PYP myocardial scintigrams are capable of identifying the presence of acute subendocardial myocardial infarction in patients. The absolute frequency with shich subendocardial myocardial infarction can be recognized utilizing this technique will have to be established in a larger number of patients in the future.
منابع مشابه
Body Surface Distributions of Repolarization Forces During Acute Myocardial Infarction
Heart J 10: 1025, 1934 32. Prinzmetal M, Kennamer R, Maxwell M: Studies on the mechanism of ventricular activation. VIII. The genesis of the coronary QS wave in through-and-through infarction. Am J Med 17: 610, 1954 33. Cowley MJ, Mantle JA, Rogers WJ, Russell RG, Rackley CE, Logic JR: Technetium 99m stannous pyrophosphate myocardial scintigraphy. Reliability and limitations in assessment of ac...
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Scintigraphic, clinical and pathological findings were correlated in 52 patients studied by technetium-99m stannous pyrophosphate (99mTc-PYP) myocardial scintigraphy before death or surgical resection of myocardium. Fifty-nine clinical events were studied with scintigraphy in the 52 patients; 41 of the 59 were associated with one or more abnormal 99mTc-PYP studies and 18 with normal 99mTc-PYP s...
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ورودعنوان ژورنال:
- Circulation
دوره 51 3 شماره
صفحات -
تاریخ انتشار 1975