Document Detail


Reproducibility and reliability of first pass radionuclide ventriculography with Au-195m. Validation of Au-195m radionuclide ventriculography.
MedLine Citation:
PMID:  3494368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Au-195m is a radio-isotope with an ultra-short half-life with which multiple sequential evaluations of ventricular function can be made. In order to evaluate the reliability and reproducibility of analyses of overall and regional ventricular function by radio-isotope ventriculography with Au-195m we studied 10 healthy volunteers and 12 patients with coronary artery disease. Each subject underwent 4 first-pass studies: 1 with Tc-99m and, 10 minutes later, 3 with Au-195m (2 basal studies separated by 3-5 minutes interval and, 10 minutes later, 1 after s.l. nitroglycerin administration). Regional wall motion was analyzed and ejection fraction and peak count rate were determined in each test. Our study showed that the ejection fraction obtained with Au-195m was reproducible (r = 0.98) and correlated well with the ejection fraction determined by using Tc-99m (r = 0.98). The values of the peak count rate obtained with Tc-99m were higher than those obtained with Au-195m. Due to the specially designed collimator and the technical characteristics of the gamma-camera we used, we were able to record sufficiently high count-rates to evaluate regional wall motion, and this analysis was also found to be reliable and reproducible. After s.l. nitroglycerin administration, normal volunteers showed a significant increase of ejection fraction in comparison with basal acquisitions (p less than 0.05), while a wide range of responses was observed in the group of patients with coronary artery disease. We conclude that radio-isotope ventriculography with Au-195m is reliable and reproducible and could be a valid method of monitoring rapid variations induced in overall and regional left ventricular function.
Authors:
M Radice; A Albertini; D Alberti; M R Castelli; V Giudici; M Gallazzi; P Maroni; R Roccaforte; M Montanari; P Giani
Related Documents :
8485838 - Adaptation to cardiac dysfunction after myocardial infarction.
12075268 - Nutritional supplementation with myovive repletes essential cardiac myocyte nutrients a...
8509548 - Bolus intravenous nitroglycerin predominantly reduces afterload in patients with excess...
6450528 - Current status of radionuclide imaging in valvular heart disease.
7006358 - Evaluation of the left ventricle with two dimensional echocardiography.
141348 - Asymmetric septal hypertrophy and myocardial fiber disarray. features of normal, develo...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  42     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  1987  
Date Detail:
Created Date:  1987-05-11     Completed Date:  1987-05-11     Revised Date:  2009-06-11    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  49-58     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Coronary Disease / physiopathology,  radionuclide imaging
Female
Gold Radioisotopes / diagnostic use*
Heart / physiology,  radionuclide imaging*
Humans
Male
Middle Aged
Myocardial Contraction
Stroke Volume
Technetium / diagnostic use
Chemical
Reg. No./Substance:
0/Gold Radioisotopes; 7440-26-8/Technetium

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


Previous Document:  Slow-release nifedipine: effect on the circadian rhythm of blood pressure in essential hypertension.
Next Document:  Acute myocardial infarction in the very elderly. A comparison with younger age groups.