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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1986-12-29
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pubmed:abstractText |
In 41 patients with a history of an acute myocardial infarction, the location of myocardial ischemia was studied by 201Tl emission computed tomography immediately and 3 h after intravenous dipyridamole. Distant ischemia was distinguished from peri-infarctional ischemia by the presence of transient thallium defects in, or slow thallium washout from myocardium not supplied by the infarct-related coronary artery. Ischemia at a distance occurred in 13 patients and was always accompanied by peri-infarctional ischemia. Peri-infarctional ischemia without distant ischemia was observed in 15 patients. The occurrence of distant ischemia was found to be dependent on the severity of stenosis in non-infarct coronary vessels. 12 (86%) of 14 patients with non-infarct stenosis of 75% or greater had distant ischemia, but only 1 (4%) of 27 patients with a stenosis of less than 75% in another vessel. In the presence of distant ischemia, peri-infarctional ischemia was in 11 patients (85%) associated with collaterals supplying the infarct zone, whereas in 13 (87%) of the patients with peri-infarctional ischemia only, incomplete obstruction of the infarct-vessel was observed. It is concluded that, by the distinction between peri-infarctional and distant ischemia, the presence of a significant stenosis in non-infarct vessels can be non-invasively predicted from tomographic thallium scintigraphy with dipyridamole.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0300-5860
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
75
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
536-41
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3491472-Angina, Unstable,
pubmed-meshheading:3491472-Coronary Circulation,
pubmed-meshheading:3491472-Coronary Disease,
pubmed-meshheading:3491472-Dipyridamole,
pubmed-meshheading:3491472-Female,
pubmed-meshheading:3491472-Humans,
pubmed-meshheading:3491472-Male,
pubmed-meshheading:3491472-Middle Aged,
pubmed-meshheading:3491472-Myocardial Infarction,
pubmed-meshheading:3491472-Thallium,
pubmed-meshheading:3491472-Tomography, Emission-Computed
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pubmed:year |
1986
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pubmed:articleTitle |
[Localization and quantification of ischemic myocardial areas in the postinfarct phase by dipyridamole 201thallium emission computerized tomography].
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pubmed:publicationType |
Journal Article,
English Abstract
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