대한핵의학회지 (1967년~2009년)
대한핵의학회지 1997;31(1)67~6
원저 : 정상 심근관류신티그라피 소견을 보인 흉통환자의 예후 ( Prognostic Implication of Normal Myocardial Perfusion Scintigraphy in Patients with Chest Pain )
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Author 송호천(Ho Cheon Song),민정준(Jung Jun Min),범희승(Hee Seung Bom),김지열(Ji Yeul Kim),
Affiliation
Abstract

Myocardial scintigraphy is a widely used noninvasive procedure with high sensitivity for the detection of patients with suspected coronary artery disease. The purpose of this study was to determine the prognostic value of a normal myocardial scintigraphy in 292 patients (150 males, 142 females, mean age 53¡¾12 years) with chest pain who were followed from 7 to 58 (mean 25) months. Myocardial SPECT was performed with Tc-99m MIBI in 173 patients, with Tc-99m tetrofosmin in 74 patients and with T1-201 in 45 patients. During the follow-up period, there were 2 cardiac deaths and 2 nonfatal myocardial infarctions resulting in cardiac event rate of 1.37% (0.66% per year). The cardiac event rate was not different in patients with angiographically normal coronary arteries (1/30, 3.3%) and in those who had significant coronary a disease (2/27, 7.4%) (p=0.60). In conclusion, patients with chest pain and normal myocardial scintigraphy have a low cardiac event rate, and there was no significant difference of cardiac event rates between patients with normal and abnormal coronary angiograms.

Keyword normal myocardial perfusion scintigraphy, prognosis, coronary artery disease, cardiac event
Full text Article 28502002.pdf 28502002.pdf
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