Abstract |
In Raynauds phenomenon, the authors measured finger
blood flow after ice water exposure by analyzing the
time activity curve of radionuclide angiography on both
hands. The results were as follows: 1) The digital
blood fiow did not decrease after ice water exposure in
normal subjects. 2) Jn the patients with Raynauds
phenomenon, there were two groups: the one had
decreased digital blood flow after cold exposure, and
the other had paradoxically increased digital blood
flow after cold exposure. 3) There was no dlfference in
the digital blood fiow of hand in room temperature
between the normal and the patients with reduced
digital blood flow after cold exposure, but the digital
blood flow af the hand in room temperaure was markedly
reduced in the patients with paradoxically increased
flow after cold exposure. 4) In the static image the
difference was not significant in comparision with the
dynamic study, because it represents pooling of the
blood in the vein rather than flow. 5) After the
treatment with nifedipine, the digital blood flow
increased. In conclusion, the radionuclide angiography
was useful in measuring the digital blood flow in
Raynauds phenomenon, and further st#udies with various
drugs is expected. |