Document Detail


Detection of perioperative coronary vasospasm on iodine-123-MIBG, thallium-201 and iodine-123-BMIPP myocardial SPECT images.
MedLine Citation:
PMID:  7472596     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
K Kodama; M Igase; Y Kazatani; K Matsuzaki; E Murakami; T Kokubu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  1995-12-12     Completed Date:  1995-12-12     Revised Date:  2006-05-06    
Medline Journal Info:
Nlm Unique ID:  0217410     Medline TA:  J Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2050-2     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Kinki Central Hospital, Itami, Japan.
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MeSH Terms
Descriptor/Qualifier:
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:
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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