원저 : 심근경색 후 생긴 심실류의 심근 SPECT소견 ( Myocardial SPECT Imaging of Post - Infarction Ventricular Aneurysm ) () |
Author |
고은미(Eun Mi Koh),이경한(Kyung Han Lee),엄재호(Jae Ho Um),김명아(Myung Ah Kim),오병희(Byung Hee Oh),박영배(Young Bae Park),이명철(Myung Chul Lee),이영우(Young Woo Lee),고창순(Chang Soon Koh), |
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Abstract |
To assess the usefulness of myocardial SPECT imaging to
detect post-myocardial infarction ventricular
aneurysms, we analyzed the Technetium-99m MIBI
myocardial SPECT images of 16 patients with anterior
and/or apical infarction, 9 had the previously reported
findings of failure of convergence of the left
ventricular walls toward the apex on SPECT images and 8
of them also had ventricular aneurysms. The
ventriculography of the 2 patients with mixed pattern
revealed 1 case of ventricular aneurysm and 1 case
without aneurysm. Among the remaining 5 patients with
converging pattern, none had ventricular aneurysm. Of
the other 11 patients with inferior and/or lateral wall
infarction, 1 patient had ventricular aneurysm and the
SPECT image couldn't detect the aneurysm. Tc-99m-MIBI
myocardial SPECT images for the detection of
ventricular aneurysm had a sensitivity of 90%, a
specificity of 88%, and an accuracy of 89%. Thus we
could get the information about presence of ventricular
aneurysm as well as the status of the myocardial
perfusion from the Tc-99m MIBI myocardial SPECT images. |
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Full text Article |
28500868.pdf
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