Intraventricular conduction abnormalities in patients with clinically suspected myocarditis are associated with myocardial necrosis
| Autor: | Igor F. Palacios, John T. Fallon, Jeremy N. Ruskin, Tsunehiro Yasuda, Hasan Garan, Hiroyuki Matsuura, G. William Dec |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Necrosis Myocarditis Heart disease Heart block Heart Ventricles Myosins Scintigraphy Antibodies Internal medicine medicine Humans In patient Radionuclide Imaging Aged Analysis of Variance Lung medicine.diagnostic_test business.industry Myocardium Indium Radioisotopes Middle Aged medicine.disease Heart Block medicine.anatomical_structure Chronic Disease Cardiology Female Myocardial necrosis medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | American Heart Journal. 127:1290-1297 |
| ISSN: | 0002-8703 |
| DOI: | 10.1016/0002-8703(94)90048-5 |
| Popis: | Twenty-nine patients with suspected myocarditis, either with or without intraventricular conduction abnormalities, were investigated for degree of myocardial necrosis by antimyosin scintigraphy. Among those 29 patients, 16 had intraventricular conduction abnormalities. Antimyosin scans were analyzed for heart/lung ratios and semiquantitative visual uptake scores (0 to 4+ scale). Of the 16 patients with conduction abnormalities, 15 (94%) demonstrated visual antimyosin uptake versus 7 (54%) of 13 cases without conduction abnormalities (p < 0.03). In addition, the heart/lung ratios and uptake scores were significantly higher in the group with conduction abnormalities than in the group without (1.64 +/- 0.31 vs 1.39 +/- 0.20, p < 0.03; and 2.3 +/- 0.7 vs 1.4 +/- 0.7, p < 0.005; respectively). In conclusion, intraventricular conduction abnormalities in patients with suspected myocarditis were more strongly associated with active and more severe myocardial necrosis as judged by antimyosin imaging than patients with normal electrocardiograms. |
| Databáze: | OpenAIRE |
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