Document Detail


Role of myocardial gated SPECT scintigraphy in the clinical suspicion of ischemic cardiomyopathy: discussion of an unusual case.
MedLine Citation:
PMID:  16512068     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The case of a 72-year-old patient affected by myasthenia gravis under pyridostigmine therapy, admitted to the hospital for the onset of oppressive thoracic pain associated with mild enzyme increase, electrocardiographic and echocardiographic disorders, is discussed. Dypiridamole/gated SPECT perfusion scintigraphy at rest evidenced reduced coronary reserve at the level of the lateral wall with apical akinesia and normokinesia of mediobasal left ventricle. On coronarography, coronary arteries were free of significant stenoses and left ventricular apical akinesia. The diagnostic approach to ischemic cardiomyopathy with the correct sequence of performed diagnostic imaging led to the presumptive identification of a rare syndrome.
Authors:
Isabella Bruno; Gianluigi Bencardino; Maria Grazia Spitilli; Milena Pizzoferro; Manuela Totaro; Donatella Pia Dambra; Luisa Lo Conte; Alessandro Giordano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Rays     Volume:  30     ISSN:  0390-7740     ISO Abbreviation:  Rays     Publication Date:    2005 Jul-Sep
Date Detail:
Created Date:  2006-03-03     Completed Date:  2006-03-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7707724     Medline TA:  Rays     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  227-32     Citation Subset:  IM    
Affiliation:
Istituto di Medicina Nucleare, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Roma, Italy. isabella.bruno@rm.unicatt.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiomyopathies / complications,  radionuclide imaging*
Female
Heart / radionuclide imaging*
Humans
Myasthenia Gravis / complications
Tomography, Emission-Computed, Single-Photon*

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