Author |
궁성수(Sung Soo Koong),김승택(Seung Taik Kim),문대혁(Dae Hyuk Moon),정준기(June Key Chung),이명철(Myung Chul Lee),조보연(Bo Youn Cho),고창순(Chang Soon Koh), |
Abstract |
To evaluate diagnostic accuracy of Tc-99m-pyrophosphate
(PYP) myocardial scan, we analysed 160 Tc-99m-PYP scans
(acute transmural myocardial infarction 87 cases, acute
subendocardial infarction; 20 cases, unstable angina
pectoris; 7 cases, other disease; 46 cases). These
scans were requested by the physician in Seoul National
University Hospital from Sep. 1982 to Oct. 1987. And
the diagnosis was confirmed by clinical course and
laboratory examinations. 1) The diagnostic sensitivity
of Tc-99m-PYP scan in acute transmural myocardial
infarction was 91.2% (62/68) if scintigraphy was
performed within 7 days after infarction, 57.1% (8/14)
between 8th and 14th day, 20% (1/5) and after 15 days.
2) The diagnostic sensitivity of Tc-99m-PYP scan in
acute subendocardial infarction was 75% (12/16) if
scintigraphy was performed within 7 days after
infarction and 0% after 8 days. 3) The diagnostic
specificity of Tc-99m-PYP scan in acute myocardial
infarction was 94.3% (5/53). Among 5 cases of false
positive scans, 1 case was unstable angina pectoris, 2
cases were old myocardial infarction with left
ventricular aneurysm, 1 case was old myocardial
infarction and the remaining 1 case was cardiomyopathy. |