Document Detail


Noninvasive detection of regional myocardial ischemia using rubidium-81 and the scintillation camera: comparison with stress electrocardiography in patients with arteriographically documented coronary stenosis.
MedLine Citation:
PMID:  1157274     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The sensitivity of rest and stress myocardial perfusion studies using scintillation camera imaging of intravenously administered rubidium-81 (81Rb) in the detection of myocardial ischemia was compared to that of stress electrocardiography by relating results in 40 patients to the degree of stenosis delineated by coronary arteriography. Of 33 patients with greater than 75% stenosis of at least one of the three major coronary vessels (significant stenosis), rest and stress 81Rb imaging detected ventricular ischemia in 29 (88%) whereas simultaneous stress electrocardiography was positive (1 mm or greater horizontal ST-segment depression) in only 19 (58%) of the same patients. Five of the 29 patients who developed stress-induced scintigraphic evidence of ischemia did not develop angina or a positive electrocardiogram with stress. In 31 of the 33 patients with significant coronary stenosis, either the stress scintigram or the stress electrocardiogram was positive. In seven patients with less than 50% narrowing of a major coronary vessel on coronary arteriography, the stress scinitigrams were negative, whereas the stress electrocardiograms were positive in the two of these patients with the syndrome of angina with normal coronary arteriograms. It is concluded that high resolution images of the myocardium can be obtained with 81Rb using the scintillation camera with special shielding, and that rest and stress 81Rb scintigraphy appears to provide greater sensitivity and specificity when compared to stress electrocardiography in the nininvasive identification of significant coronary stenosis.
Authors:
D S Berman; A F Salel; G L DeNardo; D T Mason
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Circulation     Volume:  52     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1975 Oct 
Date Detail:
Created Date:  1975-11-26     Completed Date:  1975-11-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  619-26     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Coronary Angiography
Coronary Disease / diagnosis*,  radiography
Coronary Vessels*
Electrocardiography / methods*
Humans
Physical Exertion
Potassium Radioisotopes
Radioisotopes / diagnostic use*
Radionuclide Imaging / methods
Rest
Rubidium / diagnostic use*
Chemical
Reg. No./Substance:
0/Potassium Radioisotopes; 0/Radioisotopes; 7440-17-7/Rubidium

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


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