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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2 Pt 1
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pubmed:dateCreated |
1991-3-6
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pubmed:abstractText |
To investigate the significance and mechanism of dilatation of the left ventricular cavity on dipyridamole thallium-201 imaging, we performed both dipyridamole thallium-201 imaging and dipyridamole radionuclide angiography on 83 patients with known angiograms. The dipyridamole/delayed ratio of the left ventricular dimension from the thallium-201 image was defined as the left ventricular dilatation ratio (LVDR). An LVDR greater than the mean + two standard deviations in patients without coronary artery disease was defined as abnormal. Twenty-two of 83 patients showed an abnormal LVDR, and 18 of the 22 patients (82%) had triple-vessel disease. By defect and washout analysis, the sensitivity and specificity for correctly identifying the patients as having triple-vessel disease was 72% and 76%, respectively, whereas LVDR had a sensitivity of 72% and a specificity of 93%. When LVDR was used in combination with the defect and washout criteria, sensitivity increased to 84% without a loss of specificity. In those 22 patients with abnormal LVDRs, end-diastolic volume measured by radionuclide angiography did not change after dipyridamole infusion. Dilatation of the left ventricular cavity on dipyridamole thallium-201 imaging reflected relative subendocardial hypoperfusion induced by dipyridamole rather than actual chamber enlargement. The LVDR was moderately sensitive and highly specific for triple-vessel disease and provided complementary information to dipyridamole thallium-201 imaging.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0002-8703
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
121
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
466-75
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:1990750-Adult,
pubmed-meshheading:1990750-Aged,
pubmed-meshheading:1990750-Coronary Disease,
pubmed-meshheading:1990750-Dipyridamole,
pubmed-meshheading:1990750-Female,
pubmed-meshheading:1990750-Gated Blood-Pool Imaging,
pubmed-meshheading:1990750-Heart Catheterization,
pubmed-meshheading:1990750-Hemodynamics,
pubmed-meshheading:1990750-Humans,
pubmed-meshheading:1990750-Male,
pubmed-meshheading:1990750-Middle Aged,
pubmed-meshheading:1990750-Thallium Radioisotopes,
pubmed-meshheading:1990750-Vasodilation,
pubmed-meshheading:1990750-Ventricular Function, Left
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pubmed:year |
1991
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pubmed:articleTitle |
Dilatation of the left ventricular cavity on dipyridamole thallium-201 imaging: a new marker of triple-vessel disease.
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pubmed:affiliation |
First Department of Internal Medicine, Yamagata University School of Medicine, Japan.
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pubmed:publicationType |
Journal Article,
Comparative Study
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