대한핵의학회지 (1967년~2009년)
대한핵의학회지 1989;23(1)19~7
원저 : 심근경색 후 생긴 심실류의 심근 SPECT소견 ( Myocardial SPECT Imaging of Post - Infarction Ventricular Aneurysm )
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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),
Affiliation
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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