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《JOURNAL OF BEIJING MEDICAL UNIVERSITY》 1997-06
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VALUE OF REINJECTION OF THALLIUM-201 AND LATE DELAYED AFTER REINJECTION MYOCARDIAL IMAGING FOR DETECTING ISCHEMIC BUT VIABLE MYOCARDIUM

CHAI Xiaofeng; WANG Lihui; LIN Jinghui; WU Shuyan; ZHANG Junhua; ZHU Mei; ZHU Guoying(Department of Cardiology, the First Hospital, Beijing Medical University, Beijing 100034)  
Objective: To study the value of reinjection of thallium-201 and late delayed after reinjection myocardial imaging for detecting ischemic but viable myocardium. Methods: 47 patients with coronary artery disease underwent submaximal bicycle exercise test and stress-redistribution- reinjection-late delayed after reinjection thallium-201 myocardial SPECT imaging. 30 patients underwent coronary artery angiography.Results: Stress ECG test was positive in 57. 4 %, Stress-redistribution imaging detected ischemia in 80. 1% (P 0. 01). Myocardial segment analysis showed that 35 (35. 7%) irreversible defects in redistribution image were reversible in reinjection image, 9 (14. 2% ) irreversible defects both in redisttibution and reinjection image were reversible in late delayed image after reinjection. Conclusion: In detection of ischemic but viable myocardium, reinjection and late delayed after reinjection thallium-201 myocardial SPECT imaging are superior to stress ECG test and stress-redistribution thallium myocardial imaging.
【Fund】: 国家教委博士点基金
【CateGory Index】: R816.2
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【Citations】
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【Co-citations】
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