Document Detail


Use of sequential teboroxime imaging for the detection of coronary artery occlusion and reperfusion in ischemic and infarcted myocardium.
MedLine Citation:
PMID:  8154415     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nine Yorkshire pigs underwent coronary artery occlusion followed by 2 hours of reperfusion. In five pigs (group A) the occlusion time was 15 minutes and in four pigs (group B) the occlusion time was 1 hour. Teboroxime was administered and images were acquired at baseline, and following occlusion and reperfusion. Infarct size was determined by triphenyl tetrazolium staining. Normalized regional myocardial blood flow, as determined by radio-labeled microspheres, was 0.26 +/- 0.09 following occlusion and 0.83 +/- 0.07 following reperfusion (p < 0.01). Significant differences were found between the defect/normal scan ratios on the baseline and occlusion scans (1.0 +/- 0.03 vs 0.54 +/- 0.10; p < 0.01) and between the occlusion and reperfusion scans (0.54 +/- 0.10 vs 0.97 +/- 0.17; p < 0.01). This is the first study to demonstrate that rapid sequential teboroxime imaging can detect acute coronary occlusion and reperfusion to both ischemic and infarcted myocardium. Teboroxime may be an excellent tracer for the early evaluation of infarct artery patency in patients receiving thrombolytic therapy.
Authors:
L I Heller; B J Villegas; B H Weiner; B A McSherry; S T Dahlberg; J A Leppo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American heart journal     Volume:  127     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-05-12     Completed Date:  1994-05-12     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  779-85     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, University of Massachusetts Medical Center, Worcester 01655.
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MeSH Terms
Descriptor/Qualifier:
Animals
Coronary Circulation*
Coronary Disease / radionuclide imaging*
Coronary Vessels / radionuclide imaging
Heart / radionuclide imaging
Myocardial Infarction / physiopathology,  radionuclide imaging*
Myocardial Ischemia / radionuclide imaging
Organotechnetium Compounds / diagnostic use*
Oximes / diagnostic use*
Swine
Grant Support
ID/Acronym/Agency:
HL25199/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Organotechnetium Compounds; 0/Oximes; 104716-22-5/technetium Tc 99m teboroxime

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


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