Comparative Study of Dobutamine Stress Echocardiography and Dual Single-Photon Emission Computed Tomography (Thallium-201 and I-123 BMIPP) for Assessing Myocardial Viability After Acute Myocardial Infarction

Autor: Naoko Yasugi, Kikuo Sakai, Shirou Azakami, Shigeki Sako, Tadayuki Hiroki, Samon Koyanagi, Tomoki Homma, Keizaburo Ohzono, Takahiro Matsumoto
Rok vydání: 2002
Předmět:
Zdroj: Circulation Journal. 66:1132-1138
ISSN: 1347-4820
1346-9843
DOI: 10.1253/circj.66.1132
Popis: Discordance between the (123)I-labelled 15-iodophenyl-3-R, S-methyl pentadecanoic acid (BMIPP) and (201)Tl findings may indicate myocardial viability (MV). This study compared dobutamine stress echocardiography (DSE) and single-photon emission computed tomography (SPECT) using the dual tracers for assessment of MV and prediction of functional recovery after acute myocardial infarction (AMI). DSE and dual SPECT were studied in 35 patients after AMI, of whom 28 underwent percutaneous coronary intervention in the acute stage. Dual SPECT was performed to compare the defect score of BMIPP and (201)Tl. The left ventricular wall motion score (WMS) was estimated during DSE and 6 months later to assess functional recovery of the infarct area. The rate of agreement of MV between dual SPECT and DSE was 89% (p
Databáze: OpenAIRE