| Detection of perioperative coronary vasospasm on iodine-123-MIBG, thallium-201 and iodine-123-BMIPP myocardial SPECT images. | |
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MedLine Citation:
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PMID: 7472596 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 64-yr-old woman, who had no history of anginal attack, underwent cholecystectomy under general anesthesia. A few hours after successful surgery, the EKG showed T-wave inversions with QT-interval prolongations and torsades de pointes. The [123I]MIBG scintigraphic findings revealed marked denervation in the anteroseptal and inferoposterior myocardium, whereas 201TI myocardial SPECT showed only slightly reduced tracer uptake in those areas. The [123I]BMIPP scans showed abnormal fatty acid metabolism in the anteroseptal myocardium. Coronary angiogram detected no fixed stenosis, but coronary vasoconstriction in the left anterior descending artery was induced by intracoronary injection of acetylcholine. In our patient, the findings of cardiac imaging with [123I]MIBG, 201TI and [123I]BMIPP led to coronary angiography and the final diagnosis of probable perioperative coronary vasospasm. |
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Authors:
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K Kodama; M Igase; Y Kazatani; K Matsuzaki; E Murakami; T Kokubu |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of nuclear medicine : official publication, Society of Nuclear Medicine Volume: 36 ISSN: 0161-5505 ISO Abbreviation: J. Nucl. Med. Publication Date: 1995 Nov |
Date Detail:
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Created Date: 1995-12-12 Completed Date: 1995-12-12 Revised Date: 2006-05-06 |
Medline Journal Info:
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Nlm Unique ID: 0217410 Medline TA: J Nucl Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 2050-2 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Kinki Central Hospital, Itami, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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3-Iodobenzylguanidine Acetylcholine / diagnostic use Anesthesia, General Cholecystectomy Coronary Angiography Coronary Vasospasm / diagnosis, radionuclide imaging* Decanoic Acids / diagnostic use* Electrocardiography Fatty Acids* Female Heart / radionuclide imaging* Humans Iodine Radioisotopes / diagnostic use* Iodobenzenes / diagnostic use* Middle Aged Postoperative Complications / diagnosis, radionuclide imaging* Sympatholytics / diagnostic use* Thallium Radioisotopes / diagnostic use* Tomography, Emission-Computed, Single-Photon* / methods |
| Chemical | |
Reg. No./Substance:
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0/Decanoic Acids; 0/Fatty Acids; 0/Iodine Radioisotopes; 0/Iodobenzenes; 0/Sympatholytics; 0/Thallium Radioisotopes; 116754-87-1/iodofiltic acid; 51-84-3/Acetylcholine; 77679-27-7/3-Iodobenzylguanidine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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