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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1988-6-1
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pubmed:abstractText |
A dipyridamole-induced Tl-201 perfusion abnormality was evaluated from its clinical features, echocardiography and myocardial histopathology in 39 patients with hypertrophic cardiomyopathy (HCM). From the findings of Tl-201 emission computed tomography (ECT), subjects were divided into three groups: group 1 (n = 16) which did not show a perfusion abnormality in the hypertrophic region; group 2 (n = 12) which showed a perfusion defect on the initial image with complete redistribution on the delayed image; and group 3 (n = 11) which showed a persistent perfusion defect--this group included most patients who revealed partial and/or incomplete redistribution. Echocardiography revealed that group 2 showed a marked asymmetrical septal hypertrophy and an incidental obstructive pattern, and that group 3 had a significantly dilated left ventricular diastolic dimension and a decreased percentage of fractional shortening. Group 3 also showed frequent ventricular tachycardia and a familial history of cardiomyopathy. As for the myocardial biopsy findings, group 3 had significantly advanced myocardial fibrosis, the percentage being 6.0 +/- 3.1% in group 1; 5.5 +/- 2.5% in group 2; and 11.9 +/- 3.4% in group 3. Thus, it was concluded that the persistent perfusion defect on dipyridamole stress Tl-201 ECT testing is an important finding corresponding to the advanced clinical and pathological aspects of HCM.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0047-1828
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
52
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
111-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3258928-Adult,
pubmed-meshheading:3258928-Aged,
pubmed-meshheading:3258928-Cardiomyopathy, Hypertrophic,
pubmed-meshheading:3258928-Coronary Circulation,
pubmed-meshheading:3258928-Dipyridamole,
pubmed-meshheading:3258928-Echocardiography,
pubmed-meshheading:3258928-Female,
pubmed-meshheading:3258928-Heart Septum,
pubmed-meshheading:3258928-Humans,
pubmed-meshheading:3258928-Male,
pubmed-meshheading:3258928-Middle Aged,
pubmed-meshheading:3258928-Thallium Radioisotopes,
pubmed-meshheading:3258928-Tomography, Emission-Computed
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pubmed:year |
1988
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pubmed:articleTitle |
Clinical significance of dipyridamole Tl-201 emission computed tomography perfusion abnormality for evaluating pathophysiological and pathological aspects in hypertrophic cardiomyopathy.
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pubmed:affiliation |
First Department of Internal Medicine, Kobe University School of Medicine, Japan.
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pubmed:publicationType |
Journal Article
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