Document Detail


Intravenous dipyridamole: use in thallous chloride TL 201 stress imaging.
MedLine Citation:
PMID:  1803798     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An intravenous form of dipyridamole has been approved for cardiac stress testing with thallous chloride Tl 201 (201Tl) imaging. The procedure provides an alternative method for stress testing of patients who cannot perform strenuous physical exercise because of physical limitations or those in the immediate postinfarction period. Dipyridamole simulates the physiologic effects of physical exercise by increasing adenosine concentrations, which in turn increases coronary blood flow. Dipyridamole maximizes the differences in uptake of radioactive thallium in myocardial regions supplied by normal coronary arteries and those distal to stenosed arteries where blood flow is reduced. The sensitivity and specificity of dipyridamole-201Tl stress imaging for the detection of coronary disease are comparable to those of traditional exercise-201Tl stress testing. The intravenous dipyridamole usually is well tolerated, and the majority of adverse effects can be reversed with the administration of aminophylline.
Authors:
P A Howard
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  DICP : the annals of pharmacotherapy     Volume:  25     ISSN:  1042-9611     ISO Abbreviation:  DICP     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1992-04-28     Completed Date:  1992-04-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8904338     Medline TA:  DICP     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1085-91     Citation Subset:  IM    
Affiliation:
Department of Pharmacy Practice, University of Kansas Medical Center, Kansas City 66103.
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MeSH Terms
Descriptor/Qualifier:
Coronary Disease / radionuclide imaging
Dipyridamole / diagnostic use*
Exercise Test
Heart / radionuclide imaging*
Heart Function Tests
Humans
Infusions, Intravenous
Sensitivity and Specificity
Thallium / diagnostic use
Thallium Radioisotopes / diagnostic use*
Chemical
Reg. No./Substance:
0/Thallium Radioisotopes; 58-32-2/Dipyridamole; 7440-28-0/Thallium; 7791-12-0/thallium chloride

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


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