Document Detail

Scintigraphic evaluation of suspected acute myocardial infarction.
MedLine Citation:
PMID:  197278     Owner:  NLM     Status:  MEDLINE    
Ninety-one patients with chest pain suggestive of acute myocardial infarction were studied by static technetium Tc 99m stannous pyrophosphate scintigraphy and dynamic sodium pertechnetate Tc 99m cardioangiography. Twenty-three of 26 patients (88%) with acute transmural infarcts and 12 of 17 patients (71%) with nontransmural infarcts had abnormal static studies. In 45 patients with negative scintigrams, ECG or serum enzyme changes consistent with acute infarction failed to develop. Three false-positive static studies (6%) were recorded. Twenty of 43 (47%) patients with acute infarction had hemodynamic or structural abnormalities identified by cardioangiography. The dynamic study also proved helpful in localizing the site of infarction and in ruling out certain causes of false-positive static scintigrams.
M K Kan; G B Hopkins; C F Carroll
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JAMA     Volume:  238     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1977 Oct 
Date Detail:
Created Date:  1977-10-31     Completed Date:  1977-10-31     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1637-40     Citation Subset:  AIM; IM    
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MeSH Terms
Acute Disease
Diagnosis, Differential
Diphosphates / administration & dosage
False Positive Reactions
Heart Aneurysm / diagnosis
Heart Ventricles
Myocardial Infarction / diagnosis*
Radionuclide Imaging / instrumentation*
Technetium / diagnostic use
Reg. No./Substance:
0/Diphosphates; 7440-26-8/Technetium

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