Document Detail

Clinical utility of a multigated modified anterior projection in the detection of left ventricular inferior and apical wall motion abnormalities.
MedLine Citation:
PMID:  6280917     Owner:  NLM     Status:  MEDLINE    
Recent evidence indicates that the left anterior oblique projection (LAO) multigated radionuclide ventriculogram (RVG) underestimates presence and extent of apical and inferior left ventricular (LV) wall motion abnormalities. We investigated, prospectively, the sensitivity and specificity of a modified anterior projection (MAP), which incorporates cephalad tilting. Thirty-three consecutive patients undergoing cardiac catheterization suspected to have coronary artery disease were studied with RVG, using both the MAP and LAO views. LAO views were analyzed using the ejection fraction image (REFI), and the regional ejection fraction (REF) of the inferoapical region. The MAP studies were analyzed using stroke volume image (SVI) to evaluate apical and inferior LV regions. Results were as follows: (Formula: see text), Both intraobserver and interobserver variabilities were comparable to those of conventional angiographic studies used in detection of apical and inferior asynergy. It is concluded that the multigated MAP offers additional information about abnormalities of the LV inferior and apical regions.
J F Polak; J A Bianco; A J Kemper; D E Tow
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  7     ISSN:  0363-9762     ISO Abbreviation:  Clin Nucl Med     Publication Date:  1982 Apr 
Date Detail:
Created Date:  1982-07-22     Completed Date:  1982-07-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  161-5     Citation Subset:  IM    
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MeSH Terms
Angiography / methods
Coronary Disease / radiography,  radionuclide imaging*
Heart Septum / physiopathology,  radionuclide imaging*
Heart Ventricles / physiopathology,  radionuclide imaging*
Prospective Studies
Sodium Pertechnetate Tc 99m
Stroke Volume
Technetium / diagnostic use*
Reg. No./Substance:
23288-60-0/Sodium Pertechnetate Tc 99m; 7440-26-8/Technetium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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